DERYL GOLDENBERG (NPI# 1700100708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700100708 |
| Entity Type | Individual |
| Full Name | DERYL GOLDENBERG |
| Credential | PH.D. |
| Practice Address |
16530 Ventura Blvd Ste. 501 Encino CA 91436-4554 |
| Practice Telephone | 8183861094 |
| Practice Fax Number | 8183861182 |
| Mailing Telephone | 8183861094 |
| Mailing Fax Number | 8183861182 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
15273 | CA | Behavioral Health & Social Service Providers |
| Street Address |
16530 VENTURA BLVD STE. 501 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467002311 | Mary Mcvey Manix | Psychologist | 16944 Ventura Blvd Ste 11, Encino, CA 91316-4161 | 2019-09-12 |
| 1407400724 | Howard Phillip Teich | Psychologist | 5325 Newcastle Ave Unit 304, Encino, CA 91316-3068 | 2019-07-25 |
| 1780140574 | A.m.p. Autism Inc | Psychologist | 16944 Ventura Blvd Ste 27, Encino, CA 91316-4146 | 2019-02-16 |
| 1982197174 | Trinh Taylor Corp | Psychologist | 16055 Ventura Blvd Ste 1112, Encino, CA 91436-2612 | 2018-06-12 |
| 1811491889 | Harmony In Parenting- A Psychology Center, Inc. | Psychologist | 16542 Ventura Blvd Ste 320, Encino, CA 91436-5060 | 2018-03-22 |
| 1144680547 | Ifat Peled | Psychologist | 17000 Ventura Blvd Ste 317, Encino, CA 91316-4164 | 2016-02-26 |
| 1083079586 | Shani Habibi Phd Inc A Psychological Corporation | Psychologist | 16661 Ventura Blvd #226a, Encino, CA 91436-3334 | 2015-12-28 |
| 1669898797 | Susan Saxe-clifford, Ph.d. Apc | Psychologist | 16530 Ventura Blvd Ste 203, Encino, CA 91436-4535 | 2014-03-13 |
| 1891119525 | Margie Slater | Psychologist | 16550 Ventura Blvd Ste 318, Encino, CA 91436-5003 | 2014-02-17 |
| 1710313812 | Central Psychological Services Inc | Psychologist | 16311 Ventura Blvd Ste 977, Encino, CA 91436-4331 | 2013-09-20 |
| Find all providers in ENCINO | ||||
Please comment or provide details below to improve the information on DERYL GOLDENBERG.
| 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.