Elham Abouhamzeh, PSY.D
Individual provider Active NPI Psychologist · Irvine, CA
NPI 1386092880 · NPPES record last updated May 8, 2021
Key facts
- NPI
- 1386092880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 28345 (CA)
- Practice address
- 2102 Business Center Dr
Irvine, CA 92612 - Phone
- (714) 486-4669
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2102 Business Ctr Dr
Suite 155
Irvine, CA 92612-1001
Phone (714) 486-4669
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160719002378 | CA | Practitioner - Clinical Psychologist | 7315230901 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Therapists Psychological Services P.C | Current |
Accepting new patients |
Locations
2102 Business Center Dr
Irvine, CA 92612
Phone (562) 541-8950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 28345 | CA | Yes |
Addresses
Primary practice location
2102 Business Center Dr
Irvine, CA 92612
Mailing address
2102 Business Center Dr
Irvine, CA 92612-1001
Phone (714) 486-4669
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.