Individual provider Active NPI

Erlinda Ablaza Yerzley, PSYD

  • Clinical Psychologist
  • Burbank, CA
National Provider Identifier
1124210471
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21617 Issued in CA
Practice address
4444 W Riverside Dr Ste 307
Burbank, CA 91505-4048
Phone
(818) 606-6302
NPI assigned
Aug 10, 2007
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY21617 CA Primary

Addresses

Primary practice location

4444 W Riverside Dr Ste 307
Burbank, CA 91505-4048

Mailing address

PO Box 3054
Burbank, CA 91508-3054
Phone (818) 606-6302

Other names 1

  • Dr. Erlinda Ablaza Grabowski Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080204000554 CA Practitioner - Clinical Psychologist 7214019827 Practice locations: Northridge, CA; Sherman Oaks, CA; Tujunga, CA; Burbank, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702
Phone (818) 907-4540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Rehab, Inc. Past Accepting new patients
Summerville at Cobbco, Inc. Past Accepting new patients
Neurobehavioral and Rehabilitation Psychology Consultants Clinical Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1124210471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3054",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915083054",
            "telephone_number": "818-606-6302",
            "fax_number": "818-907-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR STE 307",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054048",
            "telephone_number": "818-606-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERZLEY",
        "first_name": "ERLINDA",
        "middle_name": "ABLAZA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERLINDA",
            "last_name": "GRABOWSKI",
            "middle_name": "ABLAZA",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.