DR. ANASTASIA LARA MCGLADE PHD
NPI 1588183560
Psychologist - Clinical in Los Angeles, CA

NPI Status: Active since September 12, 2017

Contact Information

11870 SANTA MONICA BLVD STE 106504
LOS ANGELES, CA
ZIP 90025
Phone: (310) 876-2619

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • Opted-Out Medicare

About ANASTASIA MCGLADE

This page provides the complete NPI Profile along with additional information for Anastasia Mcglade, a provider established in Los Angeles, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1588183560 assigned on September 2017. The practitioner's primary taxonomy code is 103TC0700X with license number PSY33611 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1588183560
Provider Name
DR. ANASTASIA LARA MCGLADE PHD
Gender
Female
Entity Type
Individual
Location Address
11870 SANTA MONICA BLVD STE 106504 LOS ANGELES, CA 90025
Location Phone
(310) 876-2619
Mailing Address
11870 SANTA MONICA BLVD STE 106504 LOS ANGELES, CA 90025
Mailing Phone
(310) 876-2619
Is Sole Proprietor?
Yes
Enumeration Date
09-12-2017
Last Update Date
10-03-2022
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A clinical psychologist like Anastasia Mcglade assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Anastasia Mcglade opted out of Medicare effective on 04-06-2023 until 04-06-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY33611
License State
CA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-06-2023

  • Opt-Out End Date: 04-06-2025

  • Eligible to Order and Refer? No

Reviews for DR. ANASTASIA LARA MCGLADE PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588183560
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168286512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 2 + 8 + 6 + 5 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1588183560 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588183560, enumerated in the NPI registry as an "individual" on September 12, 2017

The provider is located at 11870 Santa Monica Blvd Ste 106504 Los Angeles, Ca 90025 and the phone number is (310) 876-2619

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

No, the provider signed an affidavit on April 06, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 06, 2025.

This NPI record was last updated on September 12, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.