Calzadilla Psychological Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17154 Issued in CA

Legal business name

CALZADILLA PSYCHOLOGICAL INC

Practice address

1530 E Chevy Chase Dr
Suite 204
Glendale, CA 91206-4163

Phone

(310) 325-4415

Fax

(310) 326-3744

NPI assigned

Oct 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Marylin Calzadilla, PSY.D.NPI 1700893336

Title

Owner

Phone

(818) 968-5564

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Marylin Calzadilla, PSYD

  • Cognitive & Behavioral Psychologist
  • Glendale, CA
  • NPI 1700893336
  Medicare reassignment Care Compare group NPD Authorized official
• Hannah N Krueger, PSY. D.

  • Health Psychologist
  • Glendale, CA
  • NPI 1104432004

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1083914162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251377",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912251377",
            "telephone_number": "310-325-4415",
            "fax_number": "310-326-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR",
            "address_2": "SUITE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064163",
            "telephone_number": "310-325-4415",
            "fax_number": "310-326-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALZADILLA PSYCHOLOGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-23",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "CALZADILLA",
        "authorized_official_first_name": "MARYLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-968-5564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Calvillo
• Calvin R Devnich DDS Inc
• Marylin Calzadilla, PSYD
• Karla Arely Camacho
• Omar Camacho
• Vladimir Aratan Camarce, N.P.
• Yoatzin Camarena

• Clinical Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.