Individual provider Active NPI

Alexia Holovatyk, PHD

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1174290969
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
11845 W Olympic Blvd Ste 1080W
Los Angeles, CA 90064-5023
Phone
(424) 453-8089
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

11845 W Olympic Blvd Ste 1080W
Los Angeles, CA 90064-5023

Mailing address

11845 W Olympic Blvd Ste 1080W
Los Angeles, CA 90064-5023
Phone (424) 453-8089

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
I20251216003768 CA Practitioner - Clinical Psychologist 2163917279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11845 W Olympic Blvd
Suite 1080W
Los Angeles, CA 90064-5023
Phone (424) 453-8089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32945CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Psychology Group, Inc CurrentSince Oct 26, 2025 Accepting new patients

Locations

11845 W Olympic Blvd
Ste 1080W
Los Angeles, CA 90064
Phone (424) 252-1946

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1174290969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 W OLYMPIC BLVD STE 1080W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645023",
            "telephone_number": "424-453-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 W OLYMPIC BLVD STE 1080W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645023",
            "telephone_number": "424-453-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLOVATYK",
        "first_name": "ALEXIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.