Active NPI
Bonnie Auerbach
- Clinical Psychologist
- Sherman Oaks, CA
National Provider Identifier
1043335847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY11671
- Practice address
- 13130 Burbank Blvd
Sherman Oaks, CA 91401-6037 - Phone
- (818) 779-5263
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11671 | CA | Primary |
Addresses
Primary practice location
13130 Burbank Blvd
Sherman Oaks, CA 91401-6037
Mailing address
3887 Dixie Canyon Ave
Sherman Oaks, CA 91423-4839
Phone (818) 990-8250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13130 Burbank Blvd
Sherman Oaks, CA 91401-6037
Phone (818) 779-5100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11671 | CA | MD | Clinical Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Sherman Oaks, CA
- NPI 1346374881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043335847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3887 DIXIE CANYON AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914234839",
"telephone_number": "818-990-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13130 BURBANK BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914016037",
"telephone_number": "818-779-5263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUERBACH",
"first_name": "BONNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY11671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
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- Ava Hospice Care, Incorporation
- Rouzanna Avagian, LCSW
- Pateel Avakemian, NONE
- Avalanche Recovery Center LLC
- Avalon Path Marriage, Couple, and Individual Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.