Active NPI
Bobbie Z Lesser, PHD
- Clinical Psychologist
- Hermosa Beach, CA
National Provider Identifier
1003843996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7497
- Practice address
- 2200 Pacific Coast Hwy
Ste 207
Hermosa Beach, CA 90254 - Phone
- (310) 376-0055
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY7497 | CA | Primary |
Addresses
Primary practice location
2200 Pacific Coast Hwy
Ste 207
Hermosa Beach, CA 90254
Mailing address
2200 Pacific Coast Hwy
Ste 207
Hermosa Beach, CA 90254
Phone (310) 376-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY7497 | Other | CA | PSYCHOLOGY LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2013 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7497 | CA | MD | Clinical Psychologist |
| 7497 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003843996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 PACIFIC COAST HWY",
"address_2": "STE 207",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "90254",
"telephone_number": "310-376-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PACIFIC COAST HWY",
"address_2": "STE 207",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "90254",
"telephone_number": "310-376-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSER",
"first_name": "BOBBIE",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LIC",
"identifier": "PSY7497",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.