NPIMap

Organization Active NPI

Neda Petz Psychology Inc.

  • Cognitive & Behavioral Psychologist
  • Glendale, CA
National Provider Identifier
1144948837
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
NEDA PETZ PSYCHOLOGY INC.
Practice address
2006 Canada Blvd
Glendale, CA 91208-2532
Phone
(818) 268-2665
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Neda Petz, PSYDNPI 1730745803
Title
President
Phone
(818) 268-2665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

2006 Canada Blvd
Glendale, CA 91208-2532

Mailing address

2006 Canada Blvd
Glendale, CA 91208-2532

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1144948837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 CANADA BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 CANADA BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082532",
            "telephone_number": "818-268-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDA PETZ PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "PETZ",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-268-2665",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.