Active NPI
Justin Harbour Dove, EDS, NCSP, LEP #4333
- Psychologist
- Valencia, CA
National Provider Identifier
1174351605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4333
- Practice address
- 28368 Constellation Rd Ste 398
Valencia, CA 91355-5024 - Phone
- (661) 213-9203
- NPI assigned
- Jul 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4333 | CA | Primary |
Addresses
Primary practice location
28368 Constellation Rd Ste 398
Valencia, CA 91355-5024
Mailing address
28368 Constellation Rd Ste 398
Room 103
Valencia, CA 91355-5024
Phone (661) 213-9203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4333 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1174351605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28368 CONSTELLATION RD STE 398",
"address_2": "ROOM 103",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555024",
"telephone_number": "661-213-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28368 CONSTELLATION RD STE 398",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555024",
"telephone_number": "661-213-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVE",
"first_name": "JUSTIN",
"middle_name": "HARBOUR",
"name_prefix": "Mr.",
"credential": "EDS, NCSP, LEP #4333",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-25",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "4333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
- Eugene Ralph Dorio, M.D.
- Dortha T. Chu M.D., Inc
- Douglas Marsall Engh, M.D., F.a.C.S., Inc.
- Douglas R. Gadowski MD Inc
- Erika Helen Douglass, CNM
- Brian J Downs, D.O.
- Dr Carolyn Griffin - Back to Health Chiropractic Corporation (Back To Health Chiropractic Center Valencia)
- Dr Kimberly a Rosen
- Dr Nora Nneka Inc a Professional Psychiatry Corporation
- Dr Nora Nneka Inc a Professional Psychiatry Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.