Active NPI
Alexandra Acheson, ED.S, LEP
- School Psychologist
- Hermosa Beach, CA
National Provider Identifier
1194301333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3985
- Practice address
- 1028 Manhattan Ave Apt 5
Hermosa Beach, CA 90254-3715 - Phone
- (508) 631-9240
- NPI assigned
- Mar 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3985 | CA | Primary |
Addresses
Primary practice location
1028 Manhattan Ave Apt 5
Hermosa Beach, CA 90254-3715
Mailing address
1028 Manhattan Ave Apt 5
Hermosa Beach, CA 90254-3715
Phone (508) 631-9240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3985 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1194301333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 MANHATTAN AVE APT 5",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543715",
"telephone_number": "508-631-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 MANHATTAN AVE APT 5",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543715",
"telephone_number": "508-631-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHESON",
"first_name": "ALEXANDRA",
"name_prefix": "Ms.",
"credential": "ED.S, LEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "CA",
"license": "3985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.