Individual provider Active NPI

Lydia Hansell, PSY.D.

  • Clinical Psychologist
  • Palos Verdes Estates, CA
National Provider Identifier
1689045387
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31649 Issued in CA
Practice address
75 Malaga Cove PLZ Ste 3
Palos Verdes Estates, CA 90274-1396
Phone
(213) 787-7328
NPI assigned
Oct 7, 2015
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY31649 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

75 Malaga Cove PLZ Ste 3
Palos Verdes Estates, CA 90274-1396

Mailing address

PO Box 83
Palos Verdes Estates, CA 90274-0083

Other names 1

  • Erin Lydia Hansell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 3, 2022 through May 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY31649CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
DBT California Clinical Past Accepting new patients

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, 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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1689045387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902740083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MALAGA COVE PLZ STE 3",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741396",
            "telephone_number": "213-787-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSELL",
        "first_name": "LYDIA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31649",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "HANSELL",
            "middle_name": "LYDIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palos Verdes Estates, CA

Sources for this page

Verify at the official NPI Registry.