Active NPI
Lisel Storck, M.A
- Psychologist
- Woodland Hills, CA
National Provider Identifier
1356616999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LEP 2847
- Practice address
- 21241 Ventura Blvd
Suite 187
Woodland Hills, CA 91364-2108 - Phone
- (805) 551-3408
- NPI assigned
- Mar 15, 2012
- Last updated
- Mar 15, 2012
- Sex
- Female
- 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 | LEP 2847 | CA | Primary |
Addresses
Primary practice location
21241 Ventura Blvd
Suite 187
Woodland Hills, CA 91364-2108
Mailing address
21241 Ventura Blvd
Suite 187
Woodland Hills, CA 91364
Phone (805) 551-3408
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LEP 2847 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1356616999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21241 VENTURA BLVD",
"address_2": "SUITE 187",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91364",
"telephone_number": "805-551-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21241 VENTURA BLVD",
"address_2": "SUITE 187",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642108",
"telephone_number": "805-551-3408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORCK",
"first_name": "LISEL",
"credential": "M.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "LEP 2847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.