Individual provider Active NPI

Allan Nelson Schore, PH.D.

  • Clinical Psychologist
  • Northridge, CA
National Provider Identifier
1275969057
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY3708 Issued in CA
Practice address
9817 Sylvia Ave
Northridge, CA 91324-1760
Phone
(818) 886-4368
Fax
(818) 349-4404
NPI assigned
Sep 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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 PSY3708 CA Primary

Addresses

Primary practice location

9817 Sylvia Ave
Northridge, CA 91324-1760

Mailing address

9817 Sylvia Ave
Northridge, CA 91324-1760
Phone (818) 886-4368

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY3708CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1275969057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9817 SYLVIA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241760",
            "telephone_number": "818-886-4368",
            "fax_number": "818-349-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9817 SYLVIA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241760",
            "telephone_number": "818-886-4368",
            "fax_number": "818-349-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORE",
        "first_name": "ALLAN",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.