Jabbar Hicklin, PHD in Pacoima, CA - Medicare Clinical Psychologist Provider

Jabbar Hicklin, PHD is a medicare enrolled "Psychologist - Clinical" provider in Pacoima, California. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Pure Autism Counseling Center Inc and his current practice location is 12450 Van Nuys Blvd, Suite 200, Pacoima, California. You can reach out to his office (for appointments etc.) via phone at (818) 896-1161.

Jabbar Hicklin is licensed to practice in California (license number PSY23521) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598166126.

Contact Information

	Jabbar Hicklin, PHD
	12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391
	(818) 896-1161
	(818) 896-5069

Map and Direction

Healthcare Provider's Profile

Full Name	Jabbar Hicklin
Gender	Male
Speciality	Clinical Psychologist
Experience	22 Years
Location	12450 Van Nuys Blvd, Pacoima, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jabbar Hicklin graduated from medical school in 2003

NPI Data:

NPI Number: 1598166126
Provider Enumeration Date: 09/15/2014
Last Update Date: 02/01/2016

Medicare PECOS Information:

PECOS PAC ID: 6204056781
Enrollment ID: I20141003002163

Medical Identifiers

Medical identifiers for Jabbar Hicklin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598166126	NPI	-	NPPES
6758	Medicaid	CA
7420	Medicaid	CA
7068	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY23521 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pure Autism Counseling Center Inc	4284967167	10

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jabbar Hicklin allows following entities to bill medicare on his behalf.

Entity Name	Pure Autism Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649737735 PECOS PAC ID: 4284967167 Enrollment ID: O20190607001200

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. Jabbar Hicklin 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
Jabbar Hicklin, PHD 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 Ph: (818) 896-1161	Jabbar Hicklin, PHD 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 Ph: (818) 896-1161

Reviews and Comments

Psychologist in Pacoima, CA

Kamonie Onjenai Davis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069
Dr. Melissa Diane Boudin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069
Dr. Andria Rae Glasser Das, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12510 Van Nuys Blvd, Suite 201, Pacoima, CA 91331 Phone: 310-488-5127
Shuka Jahromifar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069
Dr. Iris Marcela Rayo De Seliktar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069
Maria Clementina Avalos, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11263 Chivers Ave, Pacoima, CA 91331 Phone: 818-585-5679
Camille Williams, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069

Jabbar Hicklin, PHD - Medicare Psychologist in Pacoima, CA