Organization Active NPI

Dr. Debbie Psychology Consultant, Inc.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1346024262
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. DEBBIE PSYCHOLOGY CONSULTANT, INC.
Practice address
170 N Crescent Dr Apt 205
Beverly Hills, CA 90210-5402
Phone
(310) 740-1013
NPI assigned
Aug 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Debbie Eshtiaghpour, PHDNPI 1568791655
Title
Authorized Official
Phone
(310) 740-1013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

170 N Crescent Dr Apt 205
Beverly Hills, CA 90210-5402

Mailing address

PO Box 5019
Beverly Hills, CA 90209-5019
Phone (310) 740-1013

Other practice location 1

837 W Manchester Ave
Los Angeles, CA 90044-4913
Phone (909) 470-4392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230921000665 CA Part B Supplier - Clinic/Group Practice 8325492606 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA; Los Angeles, CA; Orange, CA; Santa Ana, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1346024262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5019",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902095019",
            "telephone_number": "310-740-1013",
            "fax_number": "888-835-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N CRESCENT DR APT 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105402",
            "telephone_number": "310-740-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "837 W Manchester Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900444913",
            "country_code": "US",
            "telephone_number": "909-470-4392",
            "fax_number": "888-835-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. DEBBIE PSYCHOLOGY CONSULTANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "ESHTIAGHPOUR",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "310-740-1013",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.