Active NPI
CW Psychological Corporation
- Rehabilitation Clinic/Center
- Agoura Hills, CA
National Provider Identifier
1043687791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.