Clinical and Forensic Neuropsychological Associates Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

CLINICAL AND FORENSIC NEUROPSYCHOLOGICAL ASSOCIATES INC.

Practice address

2600 W Olive Ave FL 5
Burbank, CA 91505-4572

Phone

(818) 588-4300

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Selina L Mangassarian, PSY.D.

Title

Clinical Neuropsychologist

Phone

(818) 588-4300

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1194343400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912090681",
            "telephone_number": "818-588-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W OLIVE AVE FL 5",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054572",
            "telephone_number": "818-588-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 MacArthur Blvd. Suite 600 East Tower",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602517",
            "country_code": "US",
            "telephone_number": "949-409-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 S Grand Ave Ste 2450",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900719500",
            "country_code": "US",
            "telephone_number": "818-588-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26565 Agoura Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021990",
            "country_code": "US",
            "telephone_number": "818-588-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15260 Ventura Blvd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914035347",
            "country_code": "US",
            "telephone_number": "818-588-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAL AND FORENSIC NEUROPSYCHOLOGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "MANGASSARIAN",
        "authorized_official_first_name": "SELINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "818-588-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Clinical Neuropsychologist 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.