Individual provider Active NPI

Max G. Feirstein, PH.D.

  • Psychologist
  • Beverly Hills, CA
National Provider Identifier
1912278672
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY24699 Issued in CA
Practice address
9107 Wilshire Blvd
Suite 475
Beverly Hills, CA 90210-5531
Phone
(310) 773-0010
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY24699 CA Primary
Cognitive & Behavioral Psychologist 103TB0200X PSY24699 CA
Clinical Psychologist 103TC0700X PSY24699 CA
Group Psychotherapy Psychologist 103TP2701X PSY24699 CA

Addresses

Primary practice location

9107 Wilshire Blvd
Suite 475
Beverly Hills, CA 90210-5531

Mailing address

9107 Wilshire Blvd
Suite 475
Beverly Hills, CA 90210-5531
Phone (310) 773-0010

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, 2020 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY24699CAMDPsychologist
24699CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1912278672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 WILSHIRE BLVD",
            "address_2": "SUITE 475",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105531",
            "telephone_number": "310-773-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 WILSHIRE BLVD",
            "address_2": "SUITE 475",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105531",
            "telephone_number": "310-773-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIRSTEIN",
        "first_name": "MAX",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24699",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY24699",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24699",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY24699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.