BEACH CITIES PSYCHOLOGICAL SERVICES, INC. (NPI# 1528317955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528317955 |
| Entity Type | Organization |
| Organization Name | BEACH CITIES PSYCHOLOGICAL SERVICES, INC. |
| Practice Address |
2615 Pacific Coast Hwy Suite 325 Hermosa Beach CA 90254-2225 |
| Mailing Address |
934 Hermosa Ave Suite 11 Hermosa Beach CA 90254-4122 |
| Practice Telephone | 3107465929 |
| Practice Fax Number | 3103796838 |
| Mailing Telephone | 3107465929 |
| Mailing Fax Number | 3103881268 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2013-08-08 |
| Authorized Official Name | DR. SHELLEY K SOMMERFELDT (OWNER) |
| Authorized Official Telephone | 3107465929 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 70014 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY22294 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2615 PACIFIC COAST HWY SUITE 325 |
| City | HERMOSA BEACH |
| State | CA |
| Zip Code | 90254-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336174507 | Patricia Baltazar | Psychologist | 2615 Pacific Coast Hwy, Suite 204, Hermosa Beach, CA 90254-2225 | 2006-07-12 |
| 1720554280 | Alanna Turner | Marriage & Family Therapist | 2615 Pacific Coast Hwy, Hermosa Beach, CA 90254-2225 | 2018-10-22 |
| 1588012090 | Jamie Suard | Marriage & Family Therapist | 2615 Pacific Coast Hwy, Suite 325, Hermosa Beach, CA 90254-2225 | 2016-05-25 |
| 1285073320 | Lisa Deanne Waldman | Clinical Neuropsychologist | 2615 Pacific Coast Hwy, Suite 325, Hermosa Beach, CA 90254-2225 | 2013-06-21 |
| 1003169590 | Emily May Varee | Physical Therapist | 2615 Pacific Coast Hwy, Suite 321, Hermosa Beach, CA 90254-2225 | 2012-10-21 |
| 1760643308 | Dennis Sabug Sanchez | Physical Therapist | 2615 Pacific Coast Hwy, Ste 321, Hermosa Beach, CA 90254-2225 | 2008-06-17 |
| 1487848404 | Martha B. Koo, M.d., Ltd. | Clinic/Center | 2615 Pacific Coast Hwy, 215, Hermosa Beach, CA 90254-2225 | 2007-09-03 |
| 1831309673 | Leah Mary Niehaus | Counselor | 2615 Pacific Coast Hwy, Suite 217, Hermosa Beach, CA 90254-2225 | 2007-05-23 |
| 1073733572 | Peggy Hoppman Hunt | Social Worker | 2615 Pacific Coast Hwy, Hermosa Beach, CA 90254 | 2007-04-26 |
| 1497899728 | Martha Brewer Koo | Counselor | 2615 Pacific Coast Hwy, #215, Hermosa Beach, CA 90254-2225 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
| 1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
| 1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
| 1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
| 1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
| 1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
| 1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
| 1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
| 1689816050 | Blue Water Endeavors, Inc. | Home Health | 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254 | 2009-04-01 |
| 1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
| Find all providers in zip 90254 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457608804 | Mellow Psychological Services, Inc. | Psychologist | 200 Pier Ave, Suite 424, Hermosa Beach, CA 90254-3608 | 2012-08-04 |
| 1962508820 | Lucy Caswell Papillon | Psychologist | 2309 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254-2752 | 2006-09-16 |
| 1336174507 | Patricia Baltazar | Psychologist | 2615 Pacific Coast Hwy, Suite 204, Hermosa Beach, CA 90254-2225 | 2006-07-12 |
| 1326031683 | Carol G Weiss | Psychologist | 1001 Hermosa Ave, Hermosa Beach, CA 90254-3781 | 2005-08-23 |
| 1750853966 | Robert Harley Rutman | Psychologist | 2200 Pacific Coast Hwy Ste 207, Hermosa Beach, CA 90254-2701 | 2018-12-28 |
| 1659897650 | Natalie Gail Pujo | Psychologist | 2447 Pacific Coast Hwy Ste 213, Hermosa Beach, CA 90254-2714 | 2017-08-21 |
| 1841601473 | South Bay Child and Family Therapy, Inc. | Psychologist | 1601 Pacific Coast Hwy Ste 290, Hermosa Beach, CA 90254-3283 | 2014-05-16 |
| 1972932325 | Rebecca Mckeen | Psychologist | 703 Pier Ave, #153, Hermosa Beach, CA 90254-3949 | 2013-11-06 |
| 1891132072 | Kelly Mothner | Psychologist | 2401 Pacific Coast Hwy, Suite 102, Hermosa Beach, CA 90254-2736 | 2013-05-29 |
| 1154695765 | Shari Mowlavi Giti | Psychologist | 1601 Pacific Coast Hwy Ste 290, Hermosa Beach, CA 90254-3283 | 2012-02-29 |
| Find all providers in HERMOSA BEACH | ||||
| City | HERMOSA BEACH |
| Zip Code | 90254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.