Individual provider Active NPI

Rebecca Lesser Allen, PSYD

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1427610831
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30656 Issued in CA
Practice address
451 N Canon Dr
Beverly Hills, CA 90210-4890
Phone
(413) 364-1447
NPI assigned
Jul 5, 2019
Last updated
Jul 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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 PSY30656 CA Primary

Addresses

Primary practice location

451 N Canon Dr
Beverly Hills, CA 90210-4890

Mailing address

6428 W 6TH St
Los Angeles, CA 90048-4714
Phone (413) 364-1447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY30656CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1427610831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484714",
            "telephone_number": "413-364-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 N CANON DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104890",
            "telephone_number": "413-364-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSER ALLEN",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.