NPIMap

Organization Active NPI

Wilshire Counseling Center

Doing business as valley therapy center

  • Clinical Psychologist
  • Encino, CA
National Provider Identifier
1235162504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17362 Issued in CA
Legal business name
WILSHIRE COUNSELING CENTER
Doing business as
valley therapy center
Practice address
15720 Ventura Blvd
Suite 600
Encino, CA 91436-2914
Phone
(818) 906-0406
Fax
(818) 906-1566
NPI assigned
Jul 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Katrina Wood, PH.DNPI 1376552539
Title
Director
Phone
(818) 906-0406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17362 CA Primary

Addresses

Primary practice location

15720 Ventura Blvd
Suite 600
Encino, CA 91436-2914

Mailing address

15720 Ventura Blvd
Suite 600
Encino, CA 91436-2914
Phone (818) 906-0406

Other names 1

  • valley therapy center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Valley Therapy Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235162504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD",
            "address_2": "SUITE 600",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-906-0406",
            "fax_number": "818-906-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD",
            "address_2": "SUITE 600",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-906-0406",
            "fax_number": "818-906-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-906-0406",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "valley therapy center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.