Douglas B. Allen, PH.D., a Professional Psychology Corporation

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY10028 Issued in CA

Legal business name

DOUGLAS B. ALLEN, PH.D., A PROFESSIONAL PSYCHOLOGY CORPORATION

Practice address

23241 Ventura Blvd
Ste. 209
Woodland Hills, CA 91364-1003

Phone

(818) 773-2100

Fax

(818) 704-7016

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas B Allen, PH.D.

Title

President

Phone

(818) 773-2100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174607022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23241 VENTURA BLVD",
            "address_2": "STE. 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641003",
            "telephone_number": "818-773-2100",
            "fax_number": "818-704-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23241 VENTURA BLVD",
            "address_2": "STE. 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641003",
            "telephone_number": "818-773-2100",
            "fax_number": "818-704-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS B. ALLEN, PH.D., A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-773-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY10028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.