Individual provider Active NPI

Alann D Dingle, PH.D.

  • Clinical Psychologist
  • Hermosa Beach, CA
National Provider Identifier
1881772390
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11158 Issued in CA
Practice address
2200 Pacific Coast Hwy
Suite 219
Hermosa Beach, CA 90254
Phone
(310) 372-4596
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 PSY11158 CA Primary

Addresses

Primary practice location

2200 Pacific Coast Hwy
Suite 219
Hermosa Beach, CA 90254

Mailing address

2200 Pacific Coast Hwy
Suite 219
Hermosa Beach, CA 90254
Phone (310) 372-4596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY11158CAMDClinical Psychologist
11158CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1881772390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "address_2": "SUITE 219",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "90254",
            "telephone_number": "310-372-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "address_2": "SUITE 219",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "90254",
            "telephone_number": "310-372-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGLE",
        "first_name": "ALANN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

Verify at the official NPI Registry.