ABBEYFIELD PSYCHOTHERAPY INC — NPI 1356613210 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical in LONG BEACH, CA)

CMS-1500 Box 24J / 33a • NPI

1356613210

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TC0700X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical

Box 32 Service Location & ZIP+4

5479 E ABBEYFIELD ST, SUITE 3, LONG BEACH, CA, 90815-3050

✓ 9-Digit EDI 837 ZIP+4 (90815-3050)

Practice Phone & Referral Fax

(562) 498-5900

Fax: (562) 498-5909

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1356613210 (ABBEYFIELD PSYCHOTHERAPY INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1356613210` (NPI-2 Organization / Facility)
Provider / Legal Name	ABBEYFIELD PSYCHOTHERAPY INC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: `103TC0700X` (Psychologist, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	5479 E ABBEYFIELD ST, SUITE 3, LONG BEACH, CA, 90815-3050
Practice Telephone / Fax	Tel: (562) 498-5900 \| Fax: (562) 498-5909
Administrative Mailing Address	5479 E ABBEYFIELD ST, LONG BEACH, CA, 90815-3050
Enumeration & Last Sync	Enumerated: 2012-02-07 \| CMS Record Updated: 2014-06-06
Authorized Official	TAMERA BENEDICT (Chief Operating Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5479 E ABBEYFIELD ST, SUITE 3, LONG BEACH, CA, 90815-3050

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Plain-English Taxonomy & CMS Crosswalk (103TC0700X)

What Does Taxonomy Code 103TC0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical) • CMS Code 68 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABBEYFIELD PSYCHOTHERAPY INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: CA \| License: `LCS19542` \| Primary: Secondary
`106H00000X` — Marriage & Family Therapist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist	State: CA \| License: `MFC43055` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: CA \| License: `PSY19703` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: CA \| License: `LCS18360` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: CA \| License: `LCS25775` \| Primary: Secondary
`106H00000X` — Marriage & Family Therapist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist	State: CA \| License: `MFC46641` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: CA \| License: `LCS21429` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: CA \| License: `LCS27670` \| Primary: Yes (Primary)

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ABBEYFIELD PSYCHOTHERAPY INC (NPI #1356613210)