Individual provider Active NPI

Hussah Alkharafi

  • Clinical Neuropsychologist
  • Santa Monica, CA
National Provider Identifier
1447890116
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
2720 Neilson Way # 5701
Santa Monica, CA 90405-4060
Phone
(424) 442-9590
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 31366 CA
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

2720 Neilson Way # 5701
Santa Monica, CA 90405-4060

Mailing address

2720 Neilson Way # 5701
Santa Monica, CA 90405-4060

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
I20210408001633 CA Practitioner - Clinical Psychologist 1850709940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Julia Evans PHD Psychology PCGroup PAC ID 0446510309, 17 clinicians

Practice addresses (Care Compare)

940 S Coast Dr
Suite 225
Costa Mesa, CA 92626-7757
Phone (949) 743-1457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31366CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Evans PHD Psychology PC Clinical Neuropsychologist CurrentSince Dec 30, 2020 Accepting new patients

Locations

940 S Coast Dr
Ste 225
Costa Mesa, CA 92626
Phone (949) 742-1457

4700 Von Karman Ave
Ste 102
Newport Beach, CA 92660
Phone (949) 743-1457

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1447890116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 NEILSON WAY # 5701",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 NEILSON WAY # 5701",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054060",
            "telephone_number": "424-442-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHARAFI",
        "first_name": "HUSSAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31366",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.