DR. SAM HAN PSYD
NPI 1578446332
Psychologist in Long Beach, CA

Active since July 29, 2025PECOS Enrolled
1000 E OCEAN BLVD UNIT 513, LONG BEACH, CA 90802(515) 664-7798 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sam Han Psyd NPPES

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

DR. SAM HAN PSYD (NPI 1578446332) is an individual psychologist in Long Beach, California, licensed in California (35959) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1578446332
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SAM HANCredential: PSYD
Location Address1000 E OCEAN BLVD UNIT 513Long Beach, CA 90802-8511
Mailing Address3350 E 7th St # 128Long Beach, CA 90804-5003 · (515) 664-7798
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1578446332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · 35959
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1000 E OCEAN BLVD UNIT 513, Long Beach, CA 90802

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sam Han Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012409758
PECOS Enrollment IDI20251120003191
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 Sam Han reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marriage & Family Therapist
11835 W OLYMPIC BLVD STE 815E
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 79 clinicians in this Medicare group

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 Sam Han's NPI number?

The NPI number for Sam Han is 1578446332. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Sam Han located?

Sam Han practices at 1000 E Ocean Blvd Unit 513, Long Beach, CA 90802. The listed phone number is (515) 664-7798.

What is Sam Han's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sam Han enrolled in Medicare?

Yes. Sam Han is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sam Han's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Han reassigns Medicare benefits to Meridian Counseling (Los Angeles, CA). 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 Sam Han'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 Sam Han was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.