Ana Luisa Aktutay, PPS
Individual provider Active NPI School Psychologist · Reseda, CA
NPI 1124820477 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1124820477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 200212075 (CA)
- Practice address
- 18600 Lanark St
Reseda, CA 91335-1233 - Phone
- (818) 882-2496
- NPI assigned
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200212075 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Jordan Middle School | School | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 200212075 | CA | Yes |
Addresses
Primary practice location
18600 Lanark St
Reseda, CA 91335-1233
Mailing address
18600 Lanark St
Reseda, CA 91335-1233
Phone (818) 882-2496
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All providers in Reseda, CA · School Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.