Individual provider Active NPI

Dennis Alexander Coffey, PH D

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1881797298
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12892 Issued in CA
Practice address
8750 Wonderland Avenue
Los Angeles, CA 90046-1850
Phone
(323) 650-4098
Fax
(323) 650-4098
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY12892 CA Primary
Psychologist 103T00000X PSY12892 CA

Addresses

Primary practice location

8750 Wonderland Avenue
Los Angeles, CA 90046-1850

Mailing address

8750 Wonderland Avenue
Los Angeles, CA 90046-1850
Phone (323) 650-4098

Other names 1

  • Dr. Dennis Alexander Coffey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000294 CA Practitioner - Psychologist Billing Independently 7113186545 Practice locations: Los Angeles, CA; Van Nuys, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8750 Wonderland Ave
Los Angeles, CA 90046-1850
Phone (323) 650-4098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
CN Horizons, Inc. PastSince May 19, 2024 Accepting new patients
Av Holding, Inc. Past Accepting new patients
Alliance Psychological Services Clinical Past Accepting new patients
LTG Holding, Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1881797298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 WONDERLAND AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461850",
            "telephone_number": "323-650-4098",
            "fax_number": "323-650-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 WONDERLAND AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461850",
            "telephone_number": "323-650-4098",
            "fax_number": "323-650-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "DENNIS",
        "middle_name": "ALEXANDER",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12892",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "COFFEY",
            "middle_name": "ALEXANDER",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.