NPIMap

Organization Active NPI

Topanga Roscoe Corporation

  • Clinical Psychologist
  • Encino, CA
National Provider Identifier
1033596291
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TOPANGA ROSCOE CORPORATION
Practice address
15760 Ventura Blvd
Suite 920
Encino, CA 91436-3019
Phone
(818) 884-8100
Fax
(818) 884-7808
NPI assigned
Apr 27, 2015
Organization subpart
Yes
Parent organization
TOPANGA ROSCOE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Authorized official

Name
Mr. Cary Buchman
Title
President
Phone
(818) 884-8100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

15760 Ventura Blvd
Suite 920
Encino, CA 91436-3019

Mailing address

15760 Ventura Blvd
Suite 920
Encino, CA 91436-3019
Phone (818) 884-8100

Other names 1

  • ACT Health & Wellness Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100407000295 CA Part B Supplier - Clinic/Group Practice 1456487099 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Encino, CA; West Hills, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Topanga Roscoe Corporation3 organizations share this tax ID, including this one
Part of
Topanga Roscoe Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15760 Ventura Blvd
Ste 920
Encino, CA 91436
Phone (818) 884-8100

9003 Reseda Blvd
Ste 100
Northridge, CA 91324
Phone (310) 756-3370

22115 Roscoe Blvd
West Hills, CA 91304
Phone (818) 884-8100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641686400000",
    "number": "1033596291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15760 VENTURA BLVD",
            "address_2": "SUITE 920",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363019",
            "telephone_number": "818-884-8100",
            "fax_number": "818-884-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15760 VENTURA BLVD",
            "address_2": "SUITE 920",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363019",
            "telephone_number": "818-884-8100",
            "fax_number": "818-884-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPANGA ROSCOE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOPANGA ROSCOE CORP",
        "enumeration_date": "2015-04-27",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A",
        "authorized_official_last_name": "BUCHMAN",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-884-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACT Health & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.