Beryl Hattori, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22521 Issued in CA

Practice address

881 Fremont Ave Ste B8
Los Altos, CA 94024-5637

Phone

(650) 266-8209

Fax

(650) 266-8209

NPI assigned

Feb 19, 2009

Last updated

Nov 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Beryl Gao Former name

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

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1619116316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3992",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940240992",
            "telephone_number": "650-266-8209",
            "fax_number": "650-266-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 FREMONT AVE STE B8",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245637",
            "telephone_number": "650-266-8209",
            "fax_number": "650-266-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTORI",
        "first_name": "BERYL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERYL",
            "last_name": "GAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pam Handley, PT
• Harry Mittelman MD Apc
• Harry Mittelman, MD a Prof. Corp
• Allison Leigh Harter, L.AC.
• Bruce Wood Hartley, D.D.S.
• Haven Cognitive Care, a Psychological Corporation
• Angela Haven
• Health Freedom Network Inc
• Suzanne Heltzel
• Henderson & Henderson -Los Altos Dental Corporation (Pinnacle Dental)

• Clinical Psychologist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.

Verify at the official NPI Registry.