Individual provider Active NPI

Annette M Swain, PHD

  • Clinical Neuropsychologist
  • Encino, CA
National Provider Identifier
1336176239
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
16330 Issued in CA
Practice address
15928 Ventura Blvd
#231
Encino, CA 91436-4401
Phone
(818) 385-0913
Fax
(818) 385-1746
NPI assigned
Jun 27, 2006
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 16330 CA Primary
Adult Development & Aging Psychologist 103TA0700X 16330 CA
Clinical Psychologist 103TC0700X 16330 CA

Addresses

Primary practice location

15928 Ventura Blvd
#231
Encino, CA 91436-4401

Mailing address

15928 Ventura Blvd
#231
Encino, CA 91436-4401
Phone (818) 385-0913

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
I20060719000297 CA Practitioner - Clinical Psychologist 2961415807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15928 Ventura Blvd
Suite 231
Encino, CA 91436-4409
Phone (818) 385-0913

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16330CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Annette Swain, a Psychological Corp Clinical Neuropsychologist CurrentSince May 1, 2006 Accepting new patients

Locations

2625 W Alameda Ave
Ste 326
Burbank, CA 91505
Phone (818) 385-0913

15928 Ventura Blvd
Ste 231
Encino, CA 91436
Phone (818) 385-0913

4911 Van Nuys Blvd
Ste 100
Van Nuys, CA 91403
Phone (818) 341-7243

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1336176239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15928 VENTURA BLVD",
            "address_2": "#231",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364401",
            "telephone_number": "818-385-0913",
            "fax_number": "818-385-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15928 VENTURA BLVD",
            "address_2": "#231",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364401",
            "telephone_number": "818-385-0913",
            "fax_number": "818-385-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "16330",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "16330",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "16330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.