Active NPI
Neil Einbund, PHD,
- Psychologist
- Tarzana, CA
National Provider Identifier
1326439126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY12611
- Practice address
- 18663 Ventura Blvd Ste 232
Tarzana, CA 91356-6801 - Phone
- (310) 285-5048
- NPI assigned
- Feb 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY12611 | CA | Primary |
Addresses
Primary practice location
18663 Ventura Blvd Ste 232
Tarzana, CA 91356-6801
Mailing address
18663 Ventura Blvd Ste 232
Tarzana, CA 91356-6801
Phone (310) 285-5048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12611 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1326439126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18663 VENTURA BLVD STE 232",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566801",
"telephone_number": "310-285-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18663 VENTURA BLVD STE 232",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566801",
"telephone_number": "310-285-5048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EINBUND",
"first_name": "NEIL",
"name_prefix": "Dr.",
"credential": "PHD,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-15",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY12611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.