Individual provider Active NPI

Eynav Elgavish Accortt, PHD

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1245737154
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28621 Issued in CA
Practice address
444 S San Vicente Blvd Ste 1001
Los Angeles, CA 90048-4170
Phone
(310) 248-8460
Fax
(310) 423-9939
NPI assigned
Apr 7, 2018
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 PSY28621 CA Primary

Addresses

Primary practice location

444 S San Vicente Blvd Ste 1001
Los Angeles, CA 90048-4170

Mailing address

444 S San Vicente Blvd Ste 1001
Los Angeles, CA 90048-4170
Phone (310) 248-8460

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY28621CAMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: eaccortt200225@direct.cshs.org

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1245737154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD STE 1001",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484170",
            "telephone_number": "310-248-8460",
            "fax_number": "310-423-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD STE 1001",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484170",
            "telephone_number": "310-248-8460",
            "fax_number": "310-423-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCORTT",
        "first_name": "EYNAV",
        "middle_name": "ELGAVISH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.