Organization Active NPI

Beach Cities Psychological Services, Inc.

  • Clinical Psychologist
  • Hermosa Beach, CA
National Provider Identifier
1528317955
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22294 Issued in CA
Legal business name
BEACH CITIES PSYCHOLOGICAL SERVICES, INC.
Practice address
2615 Pacific Coast Hwy
Suite 325
Hermosa Beach, CA 90254-2225
Phone
(310) 746-5929
Fax
(310) 379-6838
NPI assigned
Aug 30, 2012
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Dr. Shelley K Sommerfeldt, PSY.D.
Title
Owner
Phone
(310) 746-5929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY22294 CA Primary
Marriage & Family Therapist 106H00000X 70014 CA

Addresses

Primary practice location

2615 Pacific Coast Hwy
Suite 325
Hermosa Beach, CA 90254-2225

Mailing address

934 Hermosa Ave
Suite 11
Hermosa Beach, CA 90254-4122
Phone (310) 746-5929

National Provider Directory

National Provider Directory

Locations

2615 Pacific Coast Hwy
Ste 325
Hermosa Beach, CA 90254
Phone (310) 528-5550

934 Hermosa Ave
Ste 11
Hermosa Beach, CA 90254
Phone (310) 957-2122

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1528317955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 HERMOSA AVE",
            "address_2": "SUITE 11",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544122",
            "telephone_number": "310-746-5929",
            "fax_number": "310-388-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY",
            "address_2": "SUITE 325",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542225",
            "telephone_number": "310-746-5929",
            "fax_number": "310-379-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "SOMMERFELDT",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-746-5929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22294",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "70014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.