Individual provider Active NPI

Horace Joseph Beach, PH.D.

  • Clinical Psychologist
  • Concord, CA
National Provider Identifier
1407918576
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 15731 Issued in CA
Practice address
1460 Washington Blvd Ste C-6
Concord, CA 94521
Phone
(925) 494-3366
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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 PSY 15731 CA Primary

Addresses

Primary practice location

1460 Washington Blvd Ste C-6
Concord, CA 94521

Mailing address

1460 Washington Blvd Ste C-6
Concord, CA 94521-4048

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
I20130709000486 CA Practitioner - Clinical Psychologist 7618117953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1460 Washington Blvd
Suite A102
Concord, CA 94521-4073
Phone (925) 494-3366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 15731CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Horace Beach PHD California Professional Psychology Corporation CurrentSince Mar 1, 2019 Accepting new patients

Locations

1460 Washington Blvd
Ste A102
Concord, CA 94521
Phone (925) 494-3366

1460 Washington Blvd
Ste C6
Concord, CA 94521
Phone (925) 494-3366

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1407918576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 WASHINGTON BLVD STE C-6",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WASHINGTON BLVD STE C-6",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94521",
            "telephone_number": "925-494-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "HORACE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 15731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.