DR. ANDREW C DEAN (PH.D.) – Clinical Neuropsychologist, NPI 1073655064

DR. ANDREW C DEAN (PH.D.) is a healthcare provider. based in Los angeles, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY21280 (CA). The NPI Number for DR. ANDREW C DEAN (PH.D.) is 1073655064

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW C DEAN (PH.D.)
NPI
1073655064
Phone
(310) 825-5839
Address
1654 S ORANGE DR
Enumeration Date
13 February 2007
Last Update Date
5 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108259989
Graduation Year
2005 (21 years ago)
PAC ID
2769553734
Group Practice PAC ID
0749180453
Professional Enrollment ID
I20080618000666
Address ID
CA900956968LO300XXPLZX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,473 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for DR. ANDREW C DEAN (PH.D.)

  • 1654 S ORANGE DR

    LOS ANGELES, CA 900195314

    Phone: (310) 825-5839

    Fax: (310) 825-0812

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080618000666IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90019)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749180453View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. ANDREW C DEAN (PH.D.)'s NPI?
You can confirm DR. ANDREW C DEAN (PH.D.) with NPI 1073655064; it appears in the national provider directory.
Is DR. ANDREW C DEAN (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. ANDREW C DEAN (PH.D.) work in?
You can think of DR. ANDREW C DEAN (PH.D.) as practicing within Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. ANDREW C DEAN (PH.D.)?
We surface Los Angeles, California for DR. ANDREW C DEAN (PH.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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