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DR. PHYLLIS ELLIOTT DWORSKY PH.D.
NPI 1053461822
Psychologist - Clinical in Manhattan Beach, CA

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
1000 N SEPULVEDA BLVD STE 270, MANHATTAN BEACH, CA 90266(925) 282-1778 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Phyllis Elliott Dworsky Ph.d. NPPES

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

DR. PHYLLIS ELLIOTT DWORSKY PH.D. (NPI 1053461822) is an individual clinical provider in Manhattan Beach, California, licensed in California (18707) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redondo Beach, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053461822
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PHYLLIS ELLIOTT DWORSKYCredential: PH.D.
Location Address1000 N SEPULVEDA BLVD STE 270Manhattan Beach, CA 90266-5975
Mailing Address1000 N Sepulveda Blvd Ste 270Manhattan Beach, CA 90266-5975
Phone(925) 282-1778
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 11, 2007
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1053461822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 18707
Definition
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.
1000 N SEPULVEDA BLVD STE 270, Manhattan Beach, CA 90266
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Secondary Practice Location 1

Location 1423 S Pacific Coast Hwy, Suite 102Redondo Beach, CA 90277-3700 · Phone (310) 792-1823 ext. 115 · Fax (310) 540-8904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phyllis Elliott Dworsky Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022426956
PECOS Enrollment IDI20210414001386
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Phyllis Dworsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
373 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHINENYE N UMUNNAKWE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1000 N SEPULVEDA BLVD STE 270
MANHATTAN BEACH, CA 90266
Los Angeles County (925) 282-1778
ONYEKWERE CHIBUEZE ANYANWU PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1000 N SEPULVEDA BLVD STE 270
MANHATTAN BEACH, CA 90266
Los Angeles County (925) 282-1778
DR. GEOFFREY PATRICK OKOTH ODHIAMBO DNP, PMHNP-BC, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
1000 N SEPULVEDA BLVD STE 270
MANHATTAN BEACH, CA 90266
Los Angeles County (925) 282-1778
KIMBERLY CRYSTAL MARKLEY AMFT, CTP, LMFT
Marriage & Family Therapist
1000 N SEPULVEDA BLVD STE 270
MANHATTAN BEACH, CA 90266
Los Angeles County (925) 282-1778
CHERRELLE BRIONA BROWN LMFT
Marriage & Family Therapist
1000 N SEPULVEDA BLVD STE 270
MANHATTAN BEACH, CA 90266
Los Angeles County (925) 282-1778
MICHELLE ALISA BUCHOLTZ LCSW
Social Worker (Clinical)
1000 N SEPULVEDA BLVD STE 270
MANHATTAN BEACH, CA 90266
Los Angeles County (424) 284-2440
MS. ALANA MICAELA MEIXNER LCSW
Social Worker (Clinical)
1000 N SEPULVEDA BLVD STE 270
MANHATTAN BEACH, CA 90266
Los Angeles County (424) 284-2440
ALISON JOAN ATKINSON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1000 N SEPULVEDA BLVD STE 270
MANHATTAN BEACH, CA 90266
Los Angeles County (925) 282-1778

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 Phyllis Dworsky's NPI number?

The NPI number for Phyllis Dworsky is 1053461822. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Phyllis Dworsky located?

Phyllis Dworsky practices at 1000 N Sepulveda Blvd Ste 270, Manhattan Beach, CA 90266. The listed phone number is (925) 282-1778.

What is Phyllis Dworsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Phyllis Dworsky enrolled in Medicare?

Yes. Phyllis Dworsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Phyllis Dworsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Dworsky reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The 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 Phyllis Dworsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Phyllis Dworsky was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.