Individual provider Active NPI

Allan J. Comeau, PH.D.

  • Clinical Psychologist
  • West Los Angeles, CA
National Provider Identifier
1174585467
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8512 Issued in CA
Practice address
2001 S Barrington Ave
Suite 304
West Los Angeles, CA 90025-5363
Phone
(310) 473-2060
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY8512 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave
Suite 304
West Los Angeles, CA 90025-5363

Mailing address

2001 S Barrington Ave
Suite 304
West Los Angeles, CA 90025-5363
Phone (310) 473-2060

Other identifiers 1

IdentifierTypeStateIssuer
PSY085120MedicaidCA

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
I20150128000956 CA Practitioner - Clinical Psychologist 8123143302 Practice locations: West Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 S Barrington Ave
Suite 304
West Los Angeles, CA 90025-5379
Phone (310) 473-2060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8512CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174585467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "SUITE 304",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "310-473-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "SUITE 304",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "310-473-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAU",
        "first_name": "ALLAN",
        "middle_name": "J.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY085120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.