Individual provider Active NPI

Barry Halote I, PH.D.

  • Clinical Psychologist
  • Encino, CA
National Provider Identifier
1285822973
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10111 Issued in CA
Practice address
16311 Ventura Blvd.
Suite #1050
Encino, CA 91436
Phone
(818) 752-3330
Fax
(818) 508-4820
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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 PSY10111 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd.
Suite #1050
Encino, CA 91436

Mailing address

P.O. Box 4368
Valley Village, CA 91617
Phone (818) 752-3330

Other practice location 1

12520 Magnolia Blvd
Suite 302
North Hollywood, CA 91607-2336
Phone (818) 752-3330

Other identifiers 1

IdentifierTypeStateIssuer
200354800OtherCAWORKERS COMPENSATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171214001794 CA Practitioner - Clinical Psychologist 5799043014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16311 Ventura Blvd
Suite 850
Encino, CA 91436-1212
Phone (818) 752-3330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY10111CAMDClinical Psychologist
10111CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
California Psychological Associates Clinical CurrentSince Mar 12, 2018 Accepting new patients
Peter Swerdlick, M.D. Inc. Past Accepting new patients
Barry a. Halote, PH. D. - Apc Clinical Past Accepting new patients
Diabetes and Endocrine Specialists Inc PastSince Jan 5, 2015 Accepting new patients

Locations

16311 Ventura Blvd
Ste 850
Encino, CA 91436
Phone (818) 752-3330

16311 Ventura Blvd
Ste 855
Encino, CA 91436

16311 Ventura Blvd
Ste 1050
Encino, CA 91436
Phone (818) 783-3836

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1285822973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4368",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91617",
            "telephone_number": "818-752-3330",
            "fax_number": "818-508-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD.",
            "address_2": "SUITE #1050",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-752-3330",
            "fax_number": "818-508-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12520 Magnolia Blvd",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916072336",
            "country_code": "US",
            "telephone_number": "818-752-3330",
            "fax_number": "818-508-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALOTE",
        "first_name": "BARRY",
        "name_suffix": "I",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "200354800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.