NPIMap

Organization Active NPI

Hinze Psychological Services, PC

  • Clinical Psychologist
  • Encino, CA
National Provider Identifier
1366749749
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23840 Issued in CA
Legal business name
HINZE PSYCHOLOGICAL SERVICES, PC
Practice address
16542 Ventura Blvd
Suite 402
Encino, CA 91436-2005
Phone
(818) 788-2400
NPI assigned
Feb 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Jason Heath Hinze, PSY.D.
Title
President/Clinical Psychologist
Phone
(310) 614-3795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY23840 CA Primary

Addresses

Primary practice location

16542 Ventura Blvd
Suite 402
Encino, CA 91436-2005

Mailing address

PO Box 642507
Los Angeles, CA 90064-8150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1366749749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900648150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD",
            "address_2": "SUITE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362005",
            "telephone_number": "818-788-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINZE PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-19",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "HINZE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-614-3795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.