Active NPI
Giovanni Aponte, PHD
- Clinical Psychologist
- Glendale, CA
National Provider Identifier
1366400814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY12855
- Practice address
- 1560 E Chevy Chase Dr
Ste 130
Glendale, CA 91206-4140 - Phone
- (818) 240-0340
- Fax
- (818) 545-7672
- NPI assigned
- May 3, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY12855 | CA | Primary |
Addresses
Primary practice location
1560 E Chevy Chase Dr
Ste 130
Glendale, CA 91206-4140
Mailing address
1560 E Chevy Chase Dr
Ste 130
Glendale, CA 91206-4140
Phone (818) 240-0340
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12855 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1366400814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E CHEVY CHASE DR",
"address_2": "STE 130",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064140",
"telephone_number": "818-240-0340",
"fax_number": "818-545-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 E CHEVY CHASE DR",
"address_2": "STE 130",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064140",
"telephone_number": "818-240-0340",
"fax_number": "818-545-7672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APONTE",
"first_name": "GIOVANNI",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.