Individual provider Active NPI

Anita Louise Mihecoby, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1588099766
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
29218 Issued in CA
Practice address
1125 W 6TH St
Los Angeles, CA 90017-1833
Phone
(626) 430-4521
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 29218 CA
Counseling Psychologist 103TC1900X 1255 OK
Clinical Psychologist 103TC0700X 29218 CA Primary
Clinical Psychologist 103TC0700X 1255 OK

Addresses

Primary practice location

1125 W 6TH St
Los Angeles, CA 90017-1833

Mailing address

7715 Newman Ave Apt 201
Huntington Beach, CA 92647-6839
Phone (562) 659-1211

Other practice location 1

5800 S Eastern Ave Ste 500
Commerce, CA 90040-4016
Phone (626) 430-4521

Other practice location 2

609 S 2nd St
McAlester, OK 74501-5813
Phone (918) 302-0203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170815001314 CA Practitioner - Psychologist Billing Independently 7315245933 Practice locations: Commerce, CA
I20200622000284 CA Practitioner - Clinical Psychologist 7315245933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5800 S Eastern Ave
Suite 500
Commerce, CA 90040-4033
Phone (626) 658-4297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Culture Psychology Clinic Inc. CurrentSince Aug 1, 2022 Accepting new patients
United American Indian Involvement Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

5800 S Eastern Ave
Ste 500
Commerce, CA 90040
Phone (323) 308-9397

Organizations & group practices 2

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1588099766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 NEWMAN AVE APT 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476839",
            "telephone_number": "562-659-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171833",
            "telephone_number": "626-430-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 S Eastern Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900404016",
            "country_code": "US",
            "telephone_number": "626-430-4521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745015813",
            "country_code": "US",
            "telephone_number": "918-302-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHECOBY",
        "first_name": "ANITA",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "29218",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "1255",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29218",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.