Mark Imhoff, PH.D., Inc., a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY7221 Issued in CA

Legal business name

MARK IMHOFF, PH.D., INC., A PSYCHOLOGICAL CORPORATION

Practice address

4001 W Alameda Ave
Suite 110
Burbank, CA 91505-4338

Phone

(818) 843-8465

Fax

(818) 843-2435

NPI assigned

Apr 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Imhoff, PH.D.

Title

Psychologist

Phone

(818) 843-8465

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1184746505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W ALAMEDA AVE",
            "address_2": "SUITE 110",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054338",
            "telephone_number": "818-843-8465",
            "fax_number": "818-843-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W ALAMEDA AVE",
            "address_2": "SUITE 110",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054338",
            "telephone_number": "818-843-8465",
            "fax_number": "818-843-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK IMHOFF, PH.D., INC., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "IMHOFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-843-8465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.