Michelle Beakey

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSB94020517 Issued in CA

Practice address

3401 Glendale Blvd
Ste B
Los Angeles, CA 90039-1814

Phone

(323) 400-5650

NPI assigned

May 30, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Belmont Psychological Services, a Psychology CorporationGroup PAC ID 3870805849, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Belmont Psychological Services, a Psychology Corporation

  • Psychologist
  • Long Beach, CA
  • NPI 1194104562
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1083026686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HILLHURST AVE",
            "address_2": "# 264",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272712",
            "telephone_number": "214-770-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GLENDALE BLVD",
            "address_2": "STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391814",
            "telephone_number": "323-400-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAKEY",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-30",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94020517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beachside Anesthesia a Professional Corporation
• Beacon Community Medical Center, Inc.
• Beacon Outreach Initiatives LLC
• Peter Yonger Salam Beah, MD
• Omer E Beaird, MD
• Chantiste Beal, D.M.D.
• Keri Beal
• Lincoln Beal
• Michael Alexander Beal, MD
• Patricia Ann Beal, LMFT

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.