Jennifer Acogny, PSY.D.
Individual provider Active NPI Clinical Neuropsychologist · Beverly Hills, CA
NPI 1841707643 · NPPES record last updated Nov 19, 2021
Key facts
- NPI
- 1841707643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 29760 (CA)
- Practice address
- 9465 Wilshire Blvd Ste 300
Beverly Hills, CA 90212-2624 - Phone
- (424) 402-3113
- NPI assigned
- Jan 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29760 | CA | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 29760 | CA | Yes |
Addresses
Primary practice location
9465 Wilshire Blvd Ste 300
Beverly Hills, CA 90212-2624
Mailing address
9465 Wilshire Blvd Ste 300
Beverly Hills, CA 90212-2624
Phone (424) 402-3113
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.psychologytoday.com/us/therapists/jennifer-acogny-beverly-hills-ca/432795 | Direct |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.