Individual provider Active NPI

Allan P. Hess, PH.D.

  • Clinical Psychologist
  • Venice, CA
National Provider Identifier
1245456037
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 4068 Issued in CA
Practice address
477 Carroll Ave
Venice, CA 90291-4677
Phone
(310) 827-5187
NPI assigned
Apr 18, 2007
Last updated
Aug 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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 PSY 4068 CA Primary

Addresses

Primary practice location

477 Carroll Ave
Venice, CA 90291-4677

Mailing address

477 Carroll Ave
Venice, CA 90291-4677
Phone (310) 827-5187

Other identifiers 1

IdentifierTypeStateIssuer
PSY4068OtherCAPSYCHOLOGY LICENSE NUMBER

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
I20120525000615 CA Practitioner - Clinical Psychologist 7719140904 Practice locations: Los Angeles, CA; Pasadena, CA; Santa Monica, CA; Pacific Palisades, CA; Sherman Oaks, CA; Tarzana, CA; Venice, CA; West Hollywood, CA…

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21711 Ventura Blvd
Woodland Hills, CA 91364-1835
Phone (747) 263-0044

477 Carroll Ave
Venice, CA 90291-4677
Phone (310) 827-5187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 4068CAMDClinical Psychologist
4068CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp Past Accepting new patients
On Site Dermatology of California PC Past Accepting new patients
New Life Physical Therapy Services, PC PastSince Jul 1, 2017 Accepting new patients
Active Life Rehab, Inc. Past Accepting new patients
Summerville at Cobbco, Inc. Past Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc Past Accepting new patients
Ad Medical Corporation Past Accepting new patients
Trellis Physical Therapy a Professional Rehab Group Inc. Past Accepting new patients
Meh Health Management, LLC Past Accepting new patients
Usc Occupational Therapy Faculty Practice, Inc. Past Accepting new patients
Roland W. Jacobs, MD, PC Past Accepting new patients
BLC Gables-Monrovia, L.P. PastSince Aug 4, 2024 Accepting new patients
The Inn on the Boulevard Retirement Hotel Past Accepting new patients

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1245456037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 CARROLL AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914677",
            "telephone_number": "310-827-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 CARROLL AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914677",
            "telephone_number": "310-827-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "ALLAN",
        "middle_name": "P.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 4068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE NUMBER",
            "identifier": "PSY4068",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, CA

Sources for this page

Verify at the official NPI Registry.