NPIMap

Organization Active NPI

Pepperdine Community Counseling Center Encino

  • Psychologist
  • Encino, CA
National Provider Identifier
1174729222
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PEPPERDINE COMMUNITY COUNSELING CENTER ENCINO
Practice address
16830 Ventura Blvd
#216
Encino, CA 91436-1707
Phone
(818) 501-1678
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Anat Cohen, PH.D.NPI 1639387483
Title
Director
Phone
(818) 501-1660

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

16830 Ventura Blvd
#216
Encino, CA 91436-1707

Mailing address

16830 Ventura Blvd
#216
Encino, CA 91436-1707
Phone (818) 501-1678

National Provider Directory

National Provider Directory
Tax ID family
Pepperdine Community Counseling Center Encino3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16830 Ventura Blvd
Ste 216
Encino, CA 91436
Phone (818) 501-1678

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1174729222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16830 VENTURA BLVD",
            "address_2": "#216",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361707",
            "telephone_number": "818-501-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 VENTURA BLVD",
            "address_2": "#216",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361707",
            "telephone_number": "818-501-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERDINE COMMUNITY COUNSELING CENTER ENCINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ANAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-501-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.