ALEXIS TSACOUMANGOS
NPI 1639607047
Psychologist - Clinical in Los Angeles, CA

Q: What is Alexis Tsacoumangos's NPI number?

The NPI number for Alexis Tsacoumangos is 1639607047. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Q: What is Alexis Tsacoumangos's specialty?

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

Active since May 30, 2017PECOS EnrolledAccepts Medicare Assignment

11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064(310) 273-4843(310) 273-5056 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Feb 18, 2020, May 30, 2017 (3 updates tracked since 2017).

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About Alexis Tsacoumangos NPPES

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

ALEXIS TSACOUMANGOS (NPI 1639607047) is an individual clinical provider in Los Angeles, California, licensed in California (PSY31516) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Bernardino, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639607047

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameALEXIS TSACOUMANGOS

Location Address11835 W OLYMPIC BLVD STE 1265ELos Angeles, CA 90064-5814

Mailing Address11835 W Olympic Blvd Ste 1265eLos Angeles, CA 90064-5814 · (310) 273-4843 · Fax (310) 273-5056

Phone(310) 273-4843

Fax(310) 273-5056

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMay 30, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2020

✔ NPI 1639607047 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 · PSY31516

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.

11835 W OLYMPIC BLVD STE 1265E, Los Angeles, CA 90064

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Secondary Practice Location 1

Location 11950 S Sunwest Ln Ste 200San Bernardino, CA 92408-3248 · Phone (909) 252-4010 · Fax (909) 252-4055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis Tsacoumangos 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 ID2365870250

PECOS Enrollment IDI20200306000819

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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

1,681 services148 patients

Psychotherapy, 30 minutes 90832

512 services63 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

428 services85 patients

Evaluation of psychological test, each additional hour 96131

This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.

302 services110 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

288 services125 patients

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

150 services109 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

141 services140 patients

Evaluation of psychological test, each additional hour 96131

118 services51 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

92 services55 patients

Psychiatric services complicated by communication factor 90785

66 services15 patients

Evaluation of psychological test, first hour 96130

59 services51 patients

Psychiatric diagnostic evaluation 90791

51 services51 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

27 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 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.

DR. KRISTEN VIRGINIA EDDY PSYD, MACL

Psychologist (Clinical)