Organization Active NPI

CW Psychological Corporation

  • Rehabilitation Clinic/Center
  • Agoura Hills, CA
National Provider Identifier
1043687791
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CW PSYCHOLOGICAL CORPORATION
Practice address
28720 Roadside Dr Ste 229
Agoura Hills, CA 91301-6008
Phone
(310) 858-5418
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Shari Corbitt
Title
Founder
Phone
(310) 858-5418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

28720 Roadside Dr Ste 229
Agoura Hills, CA 91301-6008

Mailing address

28720 Roadside Dr Ste 229
Agoura Hills, CA 91301-6008

National Provider Directory

National Provider Directory

Locations

28720 Roadside Dr
Ste 229
Agoura Hills, CA 91301
Phone (310) 858-5418

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1043687791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28720 ROADSIDE DR STE 229",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913016008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28720 ROADSIDE DR STE 229",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913016008",
            "telephone_number": "310-858-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CW PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "CORBITT",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "310-858-5418"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.