Active NPI
Marcia Nimmer, PSYD
- Clinical Psychologist
- Beverly Hills, CA
National Provider Identifier
1699319392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31404
- Practice address
- 420 S Beverly Dr # 100-17a
Beverly Hills, CA 90212-4426 - Phone
- (424) 646-3562
- NPI assigned
- Nov 5, 2019
- Last updated
- Mar 26, 2026
- 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 | PSY31404 | CA | Primary |
Addresses
Primary practice location
420 S Beverly Dr # 100-17a
Beverly Hills, CA 90212-4426
Mailing address
420 S Beverly Dr # 100-17a
Beverly Hills, CA 90212-4426
Phone (424) 646-3562
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CMS | Health Information Exchange (HIE) |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191211000913 | CA | Practitioner - Clinical Psychologist | 5890128573 | Practice locations: Beverly Hills, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
420 S Beverly
17A
Beverly Hills, CA 90212-4426
420 S Beverly Dr
100 17A
Beverly Hills, CA 90212-4426
Phone (424) 646-3562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31404 | CA | MD | Clinical Psychologist |
| 31404 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1699319392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 S BEVERLY DR # 100-17A",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124426",
"telephone_number": "424-646-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S BEVERLY DR # 100-17A",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124426",
"telephone_number": "424-646-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMMER",
"first_name": "MARCIA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31404",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CMS",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Encrypted",
"address_1": "420 S Beverly Dr # 100-17A",
"city": "Beverly Hills",
"state": "CA",
"country_code": "US",
"postal_code": "902124426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.