Active NPI
Ira Nathanson, PH.D
- Clinical Psychologist
- Beverly Hills, CA
National Provider Identifier
1992729792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY2825
- Practice address
- 337 S Beverly Dr
Suite 209
Beverly Hills, CA 90212-4315 - Phone
- (310) 553-0066
- Fax
- (310) 826-8182
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY2825 | CA | Primary |
Addresses
Primary practice location
337 S Beverly Dr
Suite 209
Beverly Hills, CA 90212-4315
Mailing address
337 S Beverly Dr
Suite 209
Beverly Hills, CA 90212-4315
Phone (310) 553-0066
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
- Opted out of Medicare
- Yes, effective Jul 1, 2015 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY2825 | CA | MD | Clinical Psychologist |
| 2825 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992729792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 S BEVERLY DR",
"address_2": "SUITE 209",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124315",
"telephone_number": "310-553-0066",
"fax_number": "310-826-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 S BEVERLY DR",
"address_2": "SUITE 209",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124315",
"telephone_number": "310-553-0066",
"fax_number": "310-826-8182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHANSON",
"first_name": "IRA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY2825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.