Active NPI
Elizabeth Tien, M.D.
- Child & Adolescent Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 170465
- Practice address
- 1720 E 120TH St
Los Angeles, CA 90059-3052 - Phone
- (310) 668-4272
- NPI assigned
- Jul 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 256438 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 170465 | CA | Primary |
Addresses
Primary practice location
1720 E 120TH St
Los Angeles, CA 90059-3052
Mailing address
1720 E 120TH St
Los Angeles, CA 90059-3052
Other practice location 1
577 1st Ave
New York, NY 10016-6404
Phone (212) 263-6622
Other practice location 2
268 Canal St
New York, NY 10013-3599
Phone (212) 941-2213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03477176 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1720 E 120TH St
Los Angeles, CA 90058-3052
Phone (310) 668-4803
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170465 | CA | MD | Child & Adolescent Psychiatry Physician |
| 256438 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Department of Psychiatry FPP | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| MMC OB-GYN Faculty Practice Plan | Past | Accepting new patients | |
| Anesthesiology Associates of Boro Park, LLP | Past | Accepting new patients |
Locations
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
1720 E 120th St
Los Angeles, CA 90059
Phone (310) 668-4272
3741 Stocker St
Ste 200
View Park, CA 90008
Phone (323) 290-5800
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163
Interoperability endpoints
- elizabethtien@mai.allscriptsdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1740673912
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1518912302
-
- Specialist
- Brooklyn, NY
- NPI 1306843388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1851554364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593052",
"telephone_number": "310-668-4272"
}
],
"practiceLocations": [
{
"address_1": "577 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166404",
"country_code": "US",
"telephone_number": "212-263-6622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "268 Canal St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100133599",
"country_code": "US",
"telephone_number": "212-941-2213",
"fax_number": "212-941-2180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIEN",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "256438",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "170465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03477176",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.