Individual provider Active NPI

Sheileen Tilden, PSYD

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1386797488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17018 Issued in CA
Practice address
9399 Wilshire Blvd
Suite 202
Beverly Hills, CA 90210-5425
Phone
(310) 434-0262
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PSY17018 CA Primary

Addresses

Primary practice location

9399 Wilshire Blvd
Suite 202
Beverly Hills, CA 90210-5425

Mailing address

9399 Wilshire Blvd
Suite 202
Beverly Hills, CA 90210-5425
Phone (310) 434-0262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170621003075 CA Practitioner - Clinical Psychologist 3476821174 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9730 Wilshire Blvd
Suite 216B
Beverly Hills, CA 90212-2030
Phone (310) 246-1332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY17018CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386797488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 WILSHIRE BLVD",
            "address_2": "SUITE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105425",
            "telephone_number": "310-434-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 WILSHIRE BLVD",
            "address_2": "SUITE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105425",
            "telephone_number": "310-434-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILDEN",
        "first_name": "SHEILEEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.