Individual provider Active NPI

Sabra Toby Cole Hitchcock, EDD

  • Psychologist
  • Redondo Beach, CA
National Provider Identifier
1376647719
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY15538 Issued in CA
Practice address
333 Palos Verdes Blvd Apt 6
Redondo Beach, CA 90277-6320
Phone
(808) 388-0662
NPI assigned
Sep 7, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY15538 CA Primary

Addresses

Primary practice location

333 Palos Verdes Blvd Apt 6
Redondo Beach, CA 90277-6320

Mailing address

333 Palos Verdes Blvd Apt 6
Redondo Beach, CA 90277-6320
Phone (808) 388-0662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161216001796 CA Practitioner - Clinical Psychologist 6608156245 Practice locations: Ladera Ranch, CA
I20240603001141 FL Practitioner - Clinical Psychologist 6608156245 Practice locations: Dunedin, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21 Tuscany
Ladera Ranch, CA 92694-1457
Phone (808) 388-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15538CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Windows of Opportunity, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1376647719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PALOS VERDES BLVD APT 6",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776320",
            "telephone_number": "808-388-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PALOS VERDES BLVD APT 6",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776320",
            "telephone_number": "808-388-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE HITCHCOCK",
        "first_name": "SABRA",
        "middle_name": "TOBY",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.