DR. JUDITH CAROL PICKLES PH.D., PSY.D.
NPI 1851462576
Psychologist in Los Angeles, CA

Active since November 13, 2006Opted out of Medicare · through Oct 16, 2027
1800 FAIRBURN AVE, #103, LOS ANGELES, CA 90025(310) 474-6160(310) 475-6296 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Judith Carol Pickles Ph.d., Psy.d. NPPES

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

DR. JUDITH CAROL PICKLES PH.D., PSY.D. (NPI 1851462576) is an individual psychologist in Los Angeles, California, licensed in California (PSY9886) and active in the NPI registry since November 2006. She has opted out of Medicare through October 16, 2027.

NPPES Registry Identity

NPI1851462576
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JUDITH CAROL PICKLESCredential: PH.D., PSY.D.
Location Address1800 FAIRBURN AVE, #103Los Angeles, CA 90025-5958
Mailing Address1800 Fairburn Ave, #103Los Angeles, CA 90025-5958 · (310) 474-6160 · Fax (310) 475-6296
Fax(310) 475-6296
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1851462576 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 · PSY9886
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.
1800 FAIRBURN AVE, Los Angeles, CA 90025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Judith Carol Pickles Ph.d., Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 16, 2021 through October 16, 2027.

Opt-Out Effective DateOctober 16, 2021
Opt-Out In Effect ThroughOctober 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Psychiatry & Neurology (Psychiatry)
1800 FAIRBURN AVE, #107
LOS ANGELES, CA 90025
Psychiatry & Neurology (Psychiatry)
1800 FAIRBURN AVE
LOS ANGELES, CA 90025
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1800 FAIRBURN AVE, # 101
LOS ANGELES, CA 90025
Social Worker (Clinical)
1800 FAIRBURN AVE, SUITE 106
LOS ANGELES, CA 90025
Psychologist (Psychoanalysis)
1800 FAIRBURN AVE, 209
LOS ANGELES, CA 90025
Psychiatry & Neurology (Psychiatry)
1800 FAIRBURN AVE, SUITE 211
LOS ANGELES, CA 90025
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1800 FAIRBURN AVE, SUITE #105
LOS ANGELES, CA 90025
Social Worker (Clinical)
1800 FAIRBURN AVE, SUITE 210
LOS ANGELES, CA 90025

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 Judith Pickles's NPI number?

The NPI number for Judith Pickles is 1851462576. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Judith Pickles located?

Judith Pickles practices at 1800 Fairburn Ave #103, Los Angeles, CA 90025. The listed phone number is (310) 474-6160.

What is Judith Pickles's specialty?

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

Is Judith Pickles enrolled in Medicare?

No. Judith Pickles has opted out of Medicare through October 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Judith Pickles was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.