Beach Psychology

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY27851 Issued in CA

Legal business name

BEACH PSYCHOLOGY

Practice address

2447 Pacific Coast Hwy Ste 213
Hermosa Beach, CA 90254-2714

Phone

(310) 947-9279

NPI assigned

Dec 16, 2015

Last updated

May 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Warren, PSYDNPI 1891105193

Title

Psychologist

Phone

(310) 947-9279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Kelly Warren, PSYD

  • Psychologist
  • Hermosa Beach, CA
  • NPI 1891105193
  Medicare reassignment Care Compare group Authorized official
• Erika Garza

  • Student in an Organized Health Care Education/Training Program
  • Culver City, CA
  • NPI 1972021988
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1528423654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 PACIFIC COAST HWY STE 213",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542714",
            "telephone_number": "310-947-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 PACIFIC COAST HWY STE 213",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542714",
            "telephone_number": "310-947-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-947-9279",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayridge Effective Family Therapy Inc (BayRidge Effective Therapy)
• BC Medical, a Professional Medical Corporation
• Beach Cities Child and Family Therapy Inc
• Beach Cities Psychological Services, Inc.
• Beach Cities Psychotherapy, a Marriage and Family Therapy Corporation
• Beachside Nutrition Consultants (Nutrition by Brooke)
• Natasha Behnam
• Dillon Benavides Garcia
• Malori Bennett
• Kimberly Bergin, M.S., CCC-SLP

• Psychologist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.