Beatriz Coca, PH.D.
Individual provider Active NPI Clinical Psychologist · Altadena, CA
NPI 1003904491 · NPPES record last updated Jan 28, 2022
Key facts
- NPI
- 1003904491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY13099 (CA)
- Practice address
- 1234 E Altadena Dr
Altadena, CA 91001-2004 - Phone
- (626) 840-3241
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13099 | CA | MD | Professional Counselor |
| PSY13099 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY13099 | CA | Yes |
Addresses
Primary practice location
1234 E Altadena Dr
Altadena, CA 91001-2004
Mailing address
1234 E Altadena Dr
Altadena, CA 91001-2004
Phone (626) 296-0423
Other providers in Altadena, CA
- Jennifer Sue-Rurng Chen
- Craig Daniel Cheng
- Alvina Choi
- Kevin Christopher Chow
- Kathleen Coatta
- Lora Cofield
- Da'Vette Cogshell
- Frances Colella
- Elaine Collins
- Compassionate Care Home Health, Inc.
All providers in Altadena, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.