Active NPI
Abby Hacohen, PSYD
- Clinical Psychologist
- Hermosa Beach, CA
National Provider Identifier
1659058758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33967
- Practice address
- 2615 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2228 - Phone
- (424) 282-9620
- NPI assigned
- Jun 29, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33967 | CA | Primary |
Addresses
Primary practice location
2615 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2228
Mailing address
2615 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2228
Phone (424) 282-9620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 30, 2024 through Aug 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1659058758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 PACIFIC COAST HWY STE 215",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542228",
"telephone_number": "424-282-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 PACIFIC COAST HWY STE 215",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542228",
"telephone_number": "424-282-9620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACOHEN",
"first_name": "ABBY",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "33967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.