Itay Kohane, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY32550 Issued in CA

Practice address

18646 Oxnard St
Tarzana, CA 91356-1411

Phone

(818) 654-3908

NPI assigned

May 27, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1194173393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362403",
            "telephone_number": "818-377-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561411",
            "telephone_number": "818-654-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANE",
        "first_name": "ITAY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KMB Residential Care, Inc.
• Janette Knox, M.A., M.F.T.
• Nelson E Koe, M.D.
• Justin Koh, M.D.
• Salar Kohan, MD
• Babik Ruben Kohanteb, PHARM.D.
• Frederick Michael Kohn, M.D.
• Stephen Kolb
• Amelia Jean Kolenc
• Savina Emilova Kollmorgen, MPT

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

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