DR. PAUL H. ACKERMAN MD NPI 1235163320

NPI Information

NPI: 1235163320
Provider Name: DR. PAUL H. ACKERMAN, MD
Classification: Psychiatry & Neurology - 2084B0040X
Entity Type: Individual

Specialization: Behavioral Neurology & Neuropsychiatry

PECOS Registration: Yes

Address:
12520 SHADY DR
STE 621
LOS ANGELES, CA
ZIP 90049
Phone: (310) 476-5818
Get Directions

DR. Paul H. Ackerman, MD is a behavioral neurology and neuropsychiatry psychiatry neurology in Los Angeles, CA with 62 years of experience. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. DR. Paul H. Ackerman, MD NPI is 1235163320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1962

The provider's business location address is:

12520 SHADY DR
STE 621
LOS ANGELES, CA
ZIP 90049-814
Phone: (310) 476-5818
Fax: (310) 476-5819

The NPI 1235163320 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 10/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	G11839	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A90165	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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