Active NPI
Sam Han, PSYD
- Psychologist
- Long Beach, CA
National Provider Identifier
1578446332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35959
- Practice address
- 1000 E Ocean Blvd Unit 513
Long Beach, CA 90802-8511 - Phone
- (515) 664-7798
- NPI assigned
- Jul 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35959 | CA | Primary |
Addresses
Primary practice location
1000 E Ocean Blvd Unit 513
Long Beach, CA 90802-8511
Mailing address
3350 E 7TH St # 128
Long Beach, CA 90804-5003
Phone (515) 664-7798
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, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11835 W Olympic Blvd
Suite 815E
Los Angeles, CA 90064-5056
27 Shawmut St
Concord, NH 03301-8612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35959 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Counseling | Psychologist | Current | Accepting new patients |
Locations
11835 W Olympic Blvd
Ste 815E
Los Angeles, CA 90064
Phone (323) 332-9905
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": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1578446332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 E 7TH ST # 128",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908045003",
"telephone_number": "515-664-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E OCEAN BLVD UNIT 513",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908028511",
"telephone_number": "515-664-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SAM",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "35959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.