Active NPI
Izolda Sigal-Liberman, PH.D.
- Clinical Psychologist
- Beverly Hills, CA
National Provider Identifier
1821539487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28082
- Practice address
- 152 S Lasky Dr
Ste 101
Beverly Hills, CA 90212-1715 - Phone
- (323) 886-2660
- Fax
- (805) 494-8385
- NPI assigned
- Mar 15, 2017
- 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 | PSY28082 | CA | Primary |
Addresses
Primary practice location
152 S Lasky Dr
Ste 101
Beverly Hills, CA 90212-1715
Mailing address
152 S Lasky Dr
Ste 101
Beverly Hills, CA 90212-1715
Phone (323) 886-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170412000041 | CA | Practitioner - Psychologist Billing Independently | 3678859345 | Practice locations: Beverly Hills, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28082 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1821539487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 S LASKY DR",
"address_2": "STE 101",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121715",
"telephone_number": "323-886-2660",
"fax_number": "805-494-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 S LASKY DR",
"address_2": "STE 101",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121715",
"telephone_number": "323-886-2660",
"fax_number": "805-494-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIGAL-LIBERMAN",
"first_name": "IZOLDA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.