Dr Mirjam Afeni Hatton, PSYD is a medicare enrolled "Psychologist" provider in Los Angeles, California. Her current practice location is
958 Venango Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 537-8565.
Dr Mirjam Afeni Hatton is licensed to practice in California (license number 34098) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073902235.
Healthcare Provider's Profile
Full Name | Dr Mirjam Afeni Hatton |
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Gender | Female |
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Speciality | Psychologist |
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Location | 958 Venango Ave, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073902235
- Provider Enumeration Date: 01/12/2015
- Last Update Date: 02/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113376211
- Enrollment ID: I20231214002898
Medical Identifiers
Medical identifiers for Dr Mirjam Afeni Hatton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073902235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 98906 (California) | Secondary |
103T00000X | Psychologist | 34098 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mirjam Afeni Hatton is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mirjam Afeni Hatton, PSYD Po Box 27591, Los Angeles, CA 90027-0591 Ph: (213) 537-8565 | Dr Mirjam Afeni Hatton, PSYD 958 Venango Ave, Los Angeles, CA 90029-3020 Ph: (213) 537-8565 |
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