Active NPI
Raphael Ziegler, PH.D.
- Clinical Neuropsychologist
- Redondo Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY21258
- Practice address
- 1014 S Pacific Coast Hwy
Suite 102
Redondo Beach, CA 90277-4765 - Phone
- (310) 855-3288
- Fax
- (310) 855-3498
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY21258 | CA | Primary |
| Psychologist | 103T00000X | PSY21258 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | PSY21258 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY21258 | CA | |
| Clinical Psychologist | 103TC0700X | PSY21258 | CA |
Addresses
Primary practice location
1014 S Pacific Coast Hwy
Suite 102
Redondo Beach, CA 90277-4765
Mailing address
326 S Pacific Coast Hwy
Ste 200
Redondo Beach, CA 90277-3769
Phone (310) 855-3288
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
326 S Pacific Coast Hwy
Suite 200
Redondo Beach, CA 90277-3769
Phone (310) 855-3288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Q Psychology Group, a Psychological Corporation | Clinical | Current | Accepting new patients |
| William R. Shankle MD Inc. | Current | Accepting new patients | |
| Psychological Wellness | Clinical | Past | Accepting new patients |
| Natalie Thome, Licensed Clinical Social Worker, Inc. | Past | Accepting new patients | |
| BNL Health Inc. | Past | Accepting new patients |
Locations
3900 W Coast Hwy
Ste 310
Newport Beach, CA 92663
Phone (949) 478-8858
225 Avenue I
Ste 204
Redondo Beach, CA 90277
Phone (310) 855-3288
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1497895601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 S PACIFIC COAST HWY",
"address_2": "STE 200",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902773769",
"telephone_number": "310-855-3288",
"fax_number": "310-855-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 S PACIFIC COAST HWY",
"address_2": "SUITE 102",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774765",
"telephone_number": "310-855-3288",
"fax_number": "310-855-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEGLER",
"first_name": "RAPHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY21258",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY21258",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY21258",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY21258",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY21258",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.