Individual provider Active NPI

Nadia Mishael, PSY.D., LCSW

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1841550589
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY25514 Issued in CA
Practice address
1800 Fairburn Ave
Suite 204
Los Angeles, CA 90025-5958
Phone
(310) 470-6444
Fax
(310) 475-6296
NPI assigned
May 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS20358 CA
Psychologist 103T00000X PSY25514 CA Primary

Addresses

Primary practice location

1800 Fairburn Ave
Suite 204
Los Angeles, CA 90025-5958

Mailing address

1800 Fairburn Ave
Suite 204
Los Angeles, CA 90025-5958
Phone (310) 470-6444

Other names 1

  • Dr. Nadia Mishael-Sweeney Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617001610 CA Practitioner - Clinical Psychologist 7719911320 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 Fairburn Ave
Suite 204
Los Angeles, CA 90025-4968
Phone (310) 470-6444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20358CAMDProfessional Counselor
PSY25514CAMDPsychologist
LCS20358CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1841550589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FAIRBURN AVE",
            "address_2": "SUITE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255958",
            "telephone_number": "310-470-6444",
            "fax_number": "310-475-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FAIRBURN AVE",
            "address_2": "SUITE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255958",
            "telephone_number": "310-470-6444",
            "fax_number": "310-475-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHAEL",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20358",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "MISHAEL-SWEENEY",
            "prefix": "DR.",
            "credential": "PSY.D., LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.