DR. JOSEPH JOHN NICOLOSI JR. (NPI# 1700165602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700165602 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH JOHN NICOLOSI JR. |
| Credential | PH.D. |
| Practice Address |
17835 Ventura Blvd Ste # 207 Encino CA 91316 |
| Practice Telephone | 8186090147 |
| Mailing Telephone | 8186090147 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2018-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25555 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSB36547 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548317076 | Joseph P Nicolosi | Physical Therapist | 7712 Goodwood Blvd Ste A, Baton Rouge, LA 70806-7624 | 2007-01-05 |
| 1003888454 | Joseph Vincent Nicolosi | Anesthesiology | 4916 Overton Plz, Fort Worth, TX 76109-4415 | 2006-02-01 |
| Street Address |
17835 VENTURA BLVD STE # 207 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710139704 | Advanced Sleep Medicine Services Inc | Durable Medical Equipment & Medical Supplies | 17835 Ventura Blvd, Suite 300, Encino, CA 91316-3634 | 2008-10-21 |
| 1356733406 | Reliable Medical Supply Center, Inc | Durable Medical Equipment & Medical Supplies | 17835 Ventura Blvd, Suite 211, Encino, CA 91316-3634 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| 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 | ||||
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| 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.