Individual provider Active NPI

Adam West, PSYD

  • Psychologist
  • Sherman Oaks, CA
National Provider Identifier
1538704457
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY31433 Issued in CA
Practice address
15235 Burbank Blvd Ste A2
Sherman Oaks, CA 91411-3555
Phone
(310) 591-9696
NPI assigned
Nov 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY31433 CA Primary

Addresses

Primary practice location

15235 Burbank Blvd Ste A2
Sherman Oaks, CA 91411-3555

Mailing address

PO Box 1290
Venice, CA 90294-1290

Other practice location 1

1 Catamaran St
Apt B
Marina del Rey, CA 90292-5773
Phone (949) 582-3784

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
I20200116000013 CA Practitioner - Clinical Psychologist 6204261472 Reassigns benefits to 1 organization
Practice locations: Sunland, CA; Tujunga, CA; Lynwood, CA; Los Angeles, CA; El Monte, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2622 Mountain View Rd
El Monte, CA 91732-3426
Phone (626) 448-1682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY31433CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Blue Psychological Services Psychologist CurrentSince Nov 1, 2019 Accepting new patients
Taubenfeld Psychological Services PastSince Mar 1, 2005 Accepting new patients
Golden Hills Retirement Center Inc PastSince Jul 31, 2023 Accepting new patients
All Health Operations Inc. PastSince Mar 20, 2022 Accepting new patients
Tsai & Wu Health Inc, a Medical Corporation Past Accepting new patients

Locations

3570 E Imperial Hwy
Lynwood, CA 90262
Phone (858) 883-3277

15235 Burbank Blvd
Ste A2
Van Nuys, CA 91411
Phone (949) 504-1963

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1538704457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902941290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 BURBANK BLVD STE A2",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113555",
            "telephone_number": "310-591-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 CATAMARAN ST",
            "address_2": "APT B",
            "address_purpose": "LOCATION",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925773",
            "country_code": "US",
            "telephone_number": "949-582-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "ADAM",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.