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NPI Code Detail

MEDICARE: RICK DEATON, PSY.D., A PROF. PSYCH. CORP.

MEDICARE: RICK DEATON, PSY.D., A PROF. PSYCH. CORP.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist
2103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1396172342
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICK DEATON, PSY.D., A PROF. PSYCH. CORP.
Provider Business Mailing Address
First Line : 7257 BEVERLY BLVD STE 116
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-2567
Country : US
Telephone Number : 213-400-2434
Fax Number : 213-772-3698
Provider Business Practice Location Address
First Line : 7257 BEVERLY BLVD SUITE 116
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-2567
Country : US
Telephone Number : 213-400-2434
Fax Number : 323-966-5939
Authorized Official
Title or Position : OWNER
Name : DR. RICHARD BAUMAN DEATON
Credential : PSYD
Telephone Number : 213-400-2434
Provider Enumeration Date : 10/07/2013
Last Update Date : 03/01/2026

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