Marylie W. Gerson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY9102 Issued in CA

Practice address

32129 Lindero Canyon Rd Ste 201
Westlake Village, CA 91361-5433

Phone

(818) 889-6734

Fax

(818) 889-4175

NPI assigned

Jul 16, 2006

Sex

Female

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194742155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32129 LINDERO CANYON RD STE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615433",
            "telephone_number": "818-889-6734",
            "fax_number": "818-889-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32129 LINDERO CANYON RD STE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615433",
            "telephone_number": "818-889-6734",
            "fax_number": "818-889-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSON",
        "first_name": "MARYLIE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sona Georgian, D.D.S.
• Jay Gerber, BCAT
• Elizabeth Ashton Geringer, PSYD
• Linda Gerrits, MD
• Gersha Apc
• Michael Joel Gerson, PHD
• Jerilyn Dee Gertzman, M.S., R.D., C.D.E.
• Get Fit PT Inc.
• Natalie Gevoglanian
• Roya Ghahraman, DDS

• Clinical Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.