Individual provider Active NPI

Sepideh H Bassi, PSY.D.

  • Clinical Psychologist
  • Hermosa Beach, CA
National Provider Identifier
1154577963
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28262 Issued in CA
Practice address
2200 Pacific Coast Hwy Ste 102
Hermosa Beach, CA 90254-2700
Phone
(310) 946-7660
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY28262 CA
Marriage & Family Therapist 106H00000X MFC40405 CA
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X PSY28262 CA Primary

Addresses

Primary practice location

2200 Pacific Coast Hwy Ste 102
Hermosa Beach, CA 90254-2700

Mailing address

2200 Pacific Coast Hwy Ste 102
Hermosa Beach, CA 90254-2700
Phone (310) 946-7660

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170928002779 CA Practitioner - Clinical Psychologist 8820363914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bassi Psychological Services IncGroup PAC ID 7810261906, 4 clinicians

Practice addresses (Care Compare)

2200 Pacific Coast Hwy
Suite 302
Hermosa Beach, CA 90254-2702
Phone (310) 946-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY28262CAMDPsychologist
MFC40405CAMDMarriage & Family Therapist
28262CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bassi Psychological Services Inc Clinical CurrentSince Sep 1, 2017 Accepting new patients

Locations

2200 Pacific Coast Hwy
Ste 102
Hermosa Beach, CA 90254
Phone (310) 946-7660

2200 Pacific Coast Hwy
Ste 302
Hermosa Beach, CA 90254
Phone (310) 377-3873

4030 Palos Verdes Dr N
Ste 106
Rolling Hills Estates, CA 90274
Phone (310) 946-7660

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1154577963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 102",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542700",
            "telephone_number": "310-946-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 102",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542700",
            "telephone_number": "310-946-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSI",
        "first_name": "SEPIDEH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28262",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40405",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

Verify at the official NPI Registry.