Individual provider Active NPI

Tiffany Kathleen Herbert, PH.D.

  • Clinical Psychologist
  • Manhattan Beach, CA
National Provider Identifier
1821220161
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21630 Issued in CA
Practice address
1600 Rosecrans Ave
4TH Floor
Manhattan Beach, CA 90266-3708
Phone
(310) 321-7814
Fax
(310) 672-7717
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY21630 CA Primary

Addresses

Primary practice location

1600 Rosecrans Ave
4TH Floor
Manhattan Beach, CA 90266-3708

Mailing address

1600 Rosecrans Ave
4TH Floor
Manhattan Beach, CA 90266-3708
Phone (310) 321-7814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY21630CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1821220161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ROSECRANS AVE",
            "address_2": "4TH FLOOR",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663708",
            "telephone_number": "310-321-7814",
            "fax_number": "310-672-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROSECRANS AVE",
            "address_2": "4TH FLOOR",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663708",
            "telephone_number": "310-321-7814",
            "fax_number": "310-672-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "TIFFANY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.