Active NPI
Erin Graham, PH.D.
- Clinical Psychologist
- Burbank, CA
National Provider Identifier
1245529304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY33159
- Practice address
- 500 E Olive Ave Ste 540
Burbank, CA 91501-2132 - Phone
- (818) 446-2522
- Fax
- (818) 284-6368
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY33159 | CA | Primary |
Addresses
Primary practice location
500 E Olive Ave Ste 540
Burbank, CA 91501-2132
Mailing address
5805 Whitsett Ave Apt 211
Valley Village, CA 91607-1149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33159 | CA | MD | Clinical Psychologist |
| 33159 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1245529304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 WHITSETT AVE APT 211",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916071149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E OLIVE AVE STE 540",
"city": "BURBANK",
"state": "CA",
"postal_code": "915012132",
"telephone_number": "818-446-2522",
"fax_number": "818-284-6368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ERIN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY33159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.