CAL PSYCH FMT (NPI# 1336345958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336345958 |
| Entity Type | Organization |
| Organization Name | CAL PSYCH FMT |
| Practice Address |
16530 Ventura Blvd Suite 200 Encino CA 91436-4554 |
| Practice Telephone | 8183850050 |
| Practice Fax Number | 8183851166 |
| Mailing Telephone | 8183850050 |
| Mailing Fax Number | 8183851166 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL C.C. LILIENFELD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8183850050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| X | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| X | 202C00000X | Independent Medical Examiner | Allopathic & Osteopathic Physicians | ||
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
16530 VENTURA BLVD SUITE 200 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775235 | Aaron Coppelson | Specialist | 16530 Ventura Blvd, Suite 408, Encino, CA 91436-4554 | 2006-01-20 |
| 1619327640 | Restore Medical | Internal Medicine | 16530 Ventura Blvd, Suite 200, Encino, CA 91436-4554 | 2016-06-21 |
| 1952791840 | Melissa Simon | Social Worker | 16530 Ventura Blvd, 200, Encino, CA 91436-4554 | 2015-01-29 |
| 1376932962 | Michelle Manzioni | Behavioral Analyst | 16530 Ventura Blvd, Ste 510, Encino, CA 91436-4554 | 2015-01-20 |
| 1912317066 | All American Diagnostics, Inc. | Clinical Medical Laboratory | 16530 Ventura Blvd, Suite 105, Encino, CA 91436-4554 | 2014-04-29 |
| 1326464702 | Andrew Levander | Marriage & Family Therapist | 16530 Ventura Blvd, Suite 200, Encino, CA 91436-4554 | 2014-03-10 |
| 1134543630 | Nova Chiropractic | Chiropractor | 16530 Ventura Blvd, Suite 200, Encino, CA 91436-4554 | 2014-02-05 |
| 1982032611 | West Coast Spine Institute Apc | Point of Service | 16530 Ventura Blvd, Suite 130, Encino, CA 91436-4554 | 2013-10-15 |
| 1508292988 | Judith Ferraro | Psychologist | 16530 Ventura Blvd, Suite 601, Encino, CA 91436-4554 | 2013-09-18 |
| 1558703702 | Yuki Sumitomo | Behavioral Analyst | 16530 Ventura Blvd, 510, Encino, CA 91436-4554 | 2013-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589377 | Daniel Hai | Clinical Neuropsychologist | 15720 Ventura Blvd Ste 214, Encino, CA 91436-2954 | 2019-10-11 |
| 1275604274 | Cortex Behavioral Health, Corp. | Clinical Neuropsychologist | 17337 Ventura Blvd Ste 206, Encino, CA 91316-4926 | 2006-11-13 |
| 1336176239 | Annette M Swain | Clinical Neuropsychologist | 15928 Ventura Blvd, #231, Encino, CA 91436-4401 | 2006-06-27 |
| 1891305074 | Neuro Psychology Assessment Center | Clinical Neuropsychologist | 15720 Ventura Blvd Ste 214, Encino, CA 91436-2954 | 2020-08-03 |
| 1376890657 | Jonine Biesman | Clinical Neuropsychologist | 15928 Ventura Blvd, Suite 221, Encino, CA 91436-4401 | 2012-08-06 |
| 1578760229 | Roxanna Rahban | Clinical Neuropsychologist | 15720 Ventura Blvd, #606, Encino, CA 91436-2914 | 2007-06-27 |
| 1841414125 | Azadeh Rahimi | Clinical Neuropsychologist | 16661 Ventura Blvd, Suite 520, Encino, CA 91436-1914 | 2007-04-11 |
| 1568533560 | Ellen Shirman | Clinical Neuropsychologist | 17525 Ventura Blvd, Ste 307, Encino, CA 91316-5159 | 2006-11-13 |
| 1245240183 | Patricia L Gross | Clinical Neuropsychologist | 16055 Ventura Blvd, Suite 500, Encino, CA 91436-2601 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAL PSYCH FMT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.