Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ELISABETTA AMBROSIA PSY.D.
NPI 1902426208
Psychologist - Clinical in Santa Monica, CA

Q: What is Elisabetta Ambrosia's NPI number?

The NPI number for Elisabetta Ambrosia is 1902426208. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Q: What is Elisabetta Ambrosia's specialty?

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

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment

2444 WILSHIRE BLVD STE 202, SANTA MONICA, CA 90403(818) 732-8699 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Nov 9, 2024, Feb 8, 2024 and 3 more (6 updates tracked since 2020).

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About Dr. Elisabetta Ambrosia Psy.d. NPPES

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

DR. ELISABETTA AMBROSIA PSY.D. (NPI 1902426208) is an individual clinical provider in Santa Monica, California, licensed in Arizona (PSY-005248) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902426208

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ELISABETTA AMBROSIACredential: PSY.D.

Location Address2444 WILSHIRE BLVD STE 202Santa Monica, CA 90403-5810

Mailing AddressPo Box 35404Tucson, AZ 85740-5404

Phone(818) 732-8699

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 16, 2020

Last NPPES UpdateSeptember 24, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1902426208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AZ · PSY-005248

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.

Also ListedPsychologistTaxonomy 103T00000X · License PSY-005248 (AZ)

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License PSY-005248 (AZ)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY-005248 (AZ)

2444 WILSHIRE BLVD STE 202, Santa Monica, CA 90403

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Secondary Practice Locations 2

Location 14605 N PASEO AQUIMURITUCSON, AZ 85750-1613 · Phone (480) 382-3840

Location 211740 San Vicente Blvd # 109-316Los Angeles, CA 90049-6610 · Phone (520) 323-0800

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. Elisabetta Ambrosia Psy.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 ID8123442449

PECOS Enrollment IDI20200720003664

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 Reassignments

Medicare enrollment records show Elisabetta Ambrosia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambrosia Psychology Inc

Same address

Clinical

2444 WILSHIRE BLVD STE 202
Santa Monica, CA 90403

Reassigned Medicare billing, California enrollment

NPI 1619846862 (323) 732-8699

Ambrosia Psychology, LLC

457 mi

Clinical

4605 N PASEO AQUIMURI
Tucson, AZ 85750

Reassigned Medicare billing, Arizona enrollment

NPI 1053920678 (480) 382-3840

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 90403 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 6

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

LAUREN ANNE DOLINSKY LMFT

Marriage & Family Therapist