CONSCIOUS CULTURE PSYCHOLOGY CLINIC INC.
NPI 1033690235
Psychologist - Health Service in Commerce, CA

Active since August 24, 2018
5800 S EASTERN AVE, COMMERCE, CA 90040(626) 430-4521(626) 498-1483 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 2, 2023, Aug 24, 2018 (2 updates tracked since 2018).

About Conscious Culture Psychology Clinic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSCIOUS CULTURE PSYCHOLOGY CLINIC INC. (NPI 1033690235) is a healthcare organization registered as a health service in Commerce, California and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Newport Beach and lists Anita Louise Mihecoby, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033690235
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NameCONSCIOUS CULTURE PSYCHOLOGY CLINIC INC.
Location Address5800 S EASTERN AVECommerce, CA 90040-4016
Mailing Address5800 S Eastern Ave Ste 500Commerce, CA 90040-4033 · (626) 658-4297
Fax(626) 498-1483
Organization SubpartNo
Authorized OfficialAnita Louise MihecobyCeo · (626) 658-4297
Enumeration DateAugust 24, 2018
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1033690235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in CA · 29218
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
5800 S EASTERN AVE, Commerce, CA 90040

Secondary Practice Location 1

Location 15000 Birch St Ste 3000Newport Beach, CA 92660-2140 · Phone (626) 658-4297 · Fax (626) 498-1483

Other Identifiers 1

MedicaidIN249ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conscious Culture Psychology Clinic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Conscious Culture Psychology Clinic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1588099766
1125 W 6TH ST
Los Angeles, CA 90017
(626) 430-4521
✔ PECOS✔ Accepts Medicare7.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conscious Culture Psychology Clinic Inc.'s NPI number?

The NPI number for Conscious Culture Psychology Clinic Inc. is 1033690235. It was assigned to this organization in the NPPES registry on August 24, 2018.

Where is Conscious Culture Psychology Clinic Inc. located?

Conscious Culture Psychology Clinic Inc. is located at 5800 S Eastern Ave, Commerce, CA 90040. The listed phone number is (626) 430-4521.

What is Conscious Culture Psychology Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Conscious Culture Psychology Clinic Inc. enrolled in Medicare?

Yes. Conscious Culture Psychology Clinic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conscious Culture Psychology Clinic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Conscious Culture Psychology Clinic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Conscious Culture Psychology Clinic Inc. was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.