Healthcare Provider Details

I. General information

NPI: 1891206603
Provider Name (Legal Business Name): JAMEY ADAM HECHT LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 S MAPLE DR APT 4
BEVERLY HILLS CA
90212-4745
US

IV. Provider business mailing address

455 S MAPLE DR APT 4
BEVERLY HILLS CA
90212-4745
US

V. Phone/Fax

Practice location:
  • Phone: 917-873-0292
  • Fax: 310-362-8879
Mailing address:
  • Phone: 917-873-0292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number001694
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number93475
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: