NPIMap

Organization Active NPI

Burbank Therapeutic Centers, a Psychological Corporation

  • Psychologist
  • Burbank, CA
National Provider Identifier
1013319615
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY22808 Issued in CA
Legal business name
BURBANK THERAPEUTIC CENTERS, A PSYCHOLOGICAL CORPORATION
Practice address
716 S Victory Blvd
Burbank, CA 91502-2425
Phone
(310) 773-8200
Fax
(818) 843-3610
NPI assigned
Sep 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Greg Schwarz, PSY.D.NPI 1487857397
Title
Owner, Secretary, Treasurer
Phone
(310) 773-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY22808 CA Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY22856 CA

Addresses

Primary practice location

716 S Victory Blvd
Burbank, CA 91502-2425

Mailing address

716 S Victory Blvd
Burbank, CA 91502-2425
Phone (310) 773-8200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1013319615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022425",
            "telephone_number": "310-773-8200",
            "fax_number": "818-843-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022425",
            "telephone_number": "310-773-8200",
            "fax_number": "818-843-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK THERAPEUTIC CENTERS, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER, SECRETARY, TREASURER",
        "authorized_official_telephone_number": "310-773-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22808",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.