Individual provider Active NPI

Elham Ramtin Thompson, PSY.D.

  • Psychologist
  • Studio City, CA
National Provider Identifier
1992913867
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY28884 Issued in CA
Practice address
12843 Landale St
Studio City, CA 91604-1352
Phone
(949) 354-3550
Fax
(949) 281-1199
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY28884 CA Primary

Addresses

Primary practice location

12843 Landale St
Studio City, CA 91604-1352

Mailing address

PO Box 5373
Beverly Hills, CA 90209-5373
Phone (949) 354-3550

Other names 1

  • Elham Ramtin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523002411 CA Practitioner - Clinical Psychologist 3577830504 Practice locations: Studio City, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12843 Landale St
Studio City, CA 91604-1352
Phone (949) 354-3550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY28884CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elham Ramtin Psychologist CurrentSince Nov 1, 2021 Accepting new patients
Cognitive Care Solutions Inc Psychologist CurrentSince Aug 1, 2017 Accepting new patients

Locations

1526 Brookhollow Dr
Ste 73
Santa Ana, CA 92705
Phone (714) 545-3390

Organizations & group practices 2

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1992913867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5373",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902095373",
            "telephone_number": "949-354-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12843 LANDALE ST",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041352",
            "telephone_number": "949-354-3550",
            "fax_number": "949-281-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELHAM",
        "middle_name": "RAMTIN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELHAM",
            "last_name": "RAMTIN",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.