Active NPI
Rae L Hadley, PSY.D.
- Clinical Psychologist
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 16228
- Practice address
- 13160 Mindanao Way
Marina del Rey, CA 90292-6358 - Phone
- (925) 282-1778
- NPI assigned
- Dec 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 | 16228 | CA | Primary |
Addresses
Primary practice location
13160 Mindanao Way
Marina del Rey, CA 90292-6358
Mailing address
13160 Mindanao Way
Marina del Rey, CA 90292-6358
Phone (925) 282-1778
Other practice location 1
100 Howe Ave Ste 170N
Sacramento, CA 95825-8241
Phone (925) 282-1778
Other practice location 2
701 S Parker St Ste 2800
Orange, CA 92868-4720
Phone (925) 282-1778
Other practice location 3
6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Phone (925) 282-1778
Other practice location 4
490 Post St Ste 1043
San Francisco, CA 94102-1301
Phone (925) 282-1778
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13160 Mindanao Way
Suite 213
Marina del Rey, CA 90292-6358
Phone (925) 282-1778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16228 | CA | MD | Acute Care Nurse Practitioner |
Interoperability endpoints
- lifestancehealth.raehadley@148377.advancedmd-direct.com
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": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1164587291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13160 MINDANAO WAY",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926358",
"telephone_number": "925-282-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13160 MINDANAO WAY",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926358",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "100 Howe Ave Ste 170N",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958258241",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 S Parker St Ste 2800",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928684720",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6200 Wilshire Blvd Ste 1410",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900485815",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "490 Post St Ste 1043",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941021301",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HADLEY",
"first_name": "RAE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "16228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.