PINE PSYCHOLOGICAL SERVICES A PROFESSIONAL CORPORATION
NPI 1689840126
Psychologist - Clinical in Beverly Hills, CA
About Pine Psychological Services A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE PSYCHOLOGICAL SERVICES A PROFESSIONAL CORPORATION (NPI 1689840126) is a healthcare organization registered as a clinical in Beverly Hills, California and active in the NPI registry since May 2008. The organization lists Pamela S Pine, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Psychological Services A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pine Psychological Services A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Los Angeles, CA 90025
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 Pine Psychological Services A Professional Corporation's NPI number?
The NPI number for Pine Psychological Services A Professional Corporation is 1689840126. It was assigned to this organization in the NPPES registry on May 5, 2008.
Where is Pine Psychological Services A Professional Corporation located?
Pine Psychological Services A Professional Corporation is located at 9735 Wilshire Blvd Ste 212, Beverly Hills, CA 90212. The listed phone number is (310) 275-1867.
What is Pine Psychological Services A Professional Corporation's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Pine Psychological Services A Professional Corporation enrolled in Medicare?
Yes. Pine Psychological Services A Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Pine Psychological Services A Professional Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pine Psychological Services A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Pine Psychological Services A Professional Corporation. 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 Pine Psychological Services A Professional Corporation was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Pine Psychological Services A Professional Corporation · NPI 1689840126
Clinical organization in Beverly Hills, California. Organization record, active in the CMS NPPES registry since May 5, 2008.
## Identity
- **NPI:** 1689840126 (Entity type: Organization)
- **Enumerated:** May 5, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Pamela Pine, DIRECTOR
## Practice location
- **Address:** 9735 WILSHIRE BLVD STE 212, Beverly Hills, CA 90212-2102
- **Phone:** (310) 275-1867 · **Fax:** (310) 275-4838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1689840126) · Data from the CMS NPPES public registry.