Active NPI
Eynav Elgavish Accortt, PHD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1245737154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28621
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28621 | CA | MD | Clinical Psychologist |
Interoperability endpoints
- 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": []
}
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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.