Healthcare Provider Details

I. General information

NPI: 1891532180
Provider Name (Legal Business Name): JOANITIS PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2024
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1379 W PARK WESTERN DR # 874
SAN PEDRO CA
90732-2300
US

IV. Provider business mailing address

1379 W PARK WESTERN DR # 874
SAN PEDRO CA
90732-2300
US

V. Phone/Fax

Practice location:
  • Phone: 562-304-5870
  • Fax: 562-786-6714
Mailing address:
  • Phone: 562-304-5870
  • Fax: 562-786-6714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINA F. JOANITIS
Title or Position: PSYCHOLOGIST/CEO
Credential: PHD
Phone: 562-304-5870