Active NPI
Astrid Ehlenberger
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1306565346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- WAIVERED
- Practice address
- 3787 S Vermont Ave
Los Angeles, CA 90007-4203 - Phone
- (213) 408-9846
- NPI assigned
- Aug 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Psychologist | 103TC0700X | WAIVERED | CA | Primary |
Addresses
Primary practice location
3787 S Vermont Ave
Los Angeles, CA 90007-4203
Mailing address
3787 S Vermont Ave
Los Angeles, CA 90007-4203
Phone (213) 408-9846
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WAIVERED | CA | MD | Day Training/Habilitation Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1306565346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3787 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900074203",
"telephone_number": "213-408-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900074203",
"telephone_number": "213-408-9846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHLENBERGER",
"first_name": "ASTRID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2025-03-31",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "WAIVERED",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.