Active NPI
Riley Clarke
- Psychologist
- Woodland Hills, CA
National Provider Identifier
1366092223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34441
- Practice address
- 6300 Variel Ave Apt 418
Woodland Hills, CA 91367-7773 - Phone
- (818) 634-2800
- NPI assigned
- Sep 12, 2019
- Reactivated
- May 25, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 34441 | CA | Primary |
Addresses
Primary practice location
6300 Variel Ave Apt 418
Woodland Hills, CA 91367-7773
Mailing address
8549 Wilshire Blvd # 2427
Beverly Hills, CA 90211-3104
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1366092223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8549 WILSHIRE BLVD # 2427",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 VARIEL AVE APT 418",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677773",
"telephone_number": "818-634-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "RILEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-12",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"deactivation_date": "2021-05-07",
"reactivation_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "34441",
"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 Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.