Individual provider Active NPI

Alexandra Hazel Rudd-Barnard, PSY.D.

  • Clinical Neuropsychologist
  • Long Beach, CA
National Provider Identifier
1194000216
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
019294 Issued in NY
Practice address
3649 Atlantic Ave Ste B
Long Beach, CA 90807-3417
Phone
(310) 207-1720
Fax
(310) 207-1638
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY25369 CA
Clinical Neuropsychologist 103G00000X 019294 NY Primary

Addresses

Primary practice location

3649 Atlantic Ave Ste B
Long Beach, CA 90807-3417

Mailing address

3649 Atlantic Ave Ste B
Long Beach, CA 90807-3417
Phone (310) 207-1720

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
I20160126001951 CA Practitioner - Clinical Psychologist 4880902261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3649 Atlantic Ave
Suite B
Long Beach, CA 90807-3417
Phone (310) 207-1720

3649 Atlantic Ave B
Long Beach, CA 90807-3417

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY25369CAMDClinical Psychologist
019294NYMDPhysical Therapist
25369CAMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: alexandra.rudd-barnard.1@15157.direct.athenahealth.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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1194000216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 ATLANTIC AVE STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073417",
            "telephone_number": "310-207-1720",
            "fax_number": "310-207-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 ATLANTIC AVE STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073417",
            "telephone_number": "310-207-1720",
            "fax_number": "310-207-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD-BARNARD",
        "first_name": "ALEXANDRA",
        "middle_name": "HAZEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25369",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "019294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.