Individual provider Active NPI

Alicia Hefley, PSYD

  • Psychologist
  • Placentia, CA
National Provider Identifier
1417663071
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY33830 Issued in CA
Practice address
101 S Kraemer Blvd Ste 125
Placentia, CA 92870-6100
Phone
(949) 415-4152
NPI assigned
Jan 26, 2023
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 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 PSY33830 CA Primary

Addresses

Primary practice location

101 S Kraemer Blvd Ste 125
Placentia, CA 92870-6100

Mailing address

101 S Kraemer Blvd Ste 125
Placentia, CA 92870-6100
Phone (949) 415-4152

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
I20230505002129 CA Practitioner - Clinical Psychologist 7517322001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medens HealthGroup PAC ID 4880014877, 13 clinicians

Practice addresses (Care Compare)

9713 Santa Monica Blvd
Suite 201
Beverly Hills, CA 90210-4236
Phone (833) 624-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY33830CAMDPsychologist
33830CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Medens Health Psychologist CurrentSince Apr 26, 2023 Accepting new patients

Locations

9713 Santa Monica Blvd
Ste 201
Beverly Hills, CA 90210
Phone (310) 564-5400

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1417663071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD STE 125",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706100",
            "telephone_number": "949-415-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD STE 125",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706100",
            "telephone_number": "949-415-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFLEY",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY33830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.