Individual provider Active NPI

Karen A Sabovich, PH.D.

  • Clinical Psychologist
  • Tarzana, CA
National Provider Identifier
1245477611
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY6767 Issued in CA
Practice address
18757 Burbank Blvd Ste 309
Tarzana, CA 91356-3393
Phone
(818) 758-9700
Fax
(818) 758-9779
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY6767 CA Primary

Addresses

Primary practice location

18757 Burbank Blvd Ste 309
Tarzana, CA 91356-3393

Mailing address

18757 Burbank Blvd Ste 309
Tarzana, CA 91356-3393
Phone (818) 758-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 18, 2022 through Jul 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6767CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1245477611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18757 BURBANK BLVD STE 309",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563393",
            "telephone_number": "818-758-9700",
            "fax_number": "818-758-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18757 BURBANK BLVD STE 309",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563393",
            "telephone_number": "818-758-9700",
            "fax_number": "818-758-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOVICH",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.