Deryl Goldenberg a Psychological Corp.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DERYL GOLDENBERG A PSYCHOLOGICAL CORP.

Doing business as

Verdugo Hills Autism Project

Practice address

16600 Sherman Way
Suite # 165
Van Nuys, CA 91406-3875

Phone

(818) 386-1182

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Deryl Goldenberg, PSYD

Title

Chief Executive Officer

Phone

(805) 452-7528

Specialties & licenses 1

Addresses

Other names 1

• Verdugo Hills Autism Project Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deryl Goldenberg, PH.D.

  • Clinical Psychologist
  • Encino, CA
  • NPI 1700100708
  NPD (past)
• Ariel Ellen Schoolsky, M.A., MFT

  • Marriage & Family Therapist
  • Van Nuys, CA
  • NPI 1780945519
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1396008934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 SHERMAN WAY",
            "address_2": "SUITE # 165",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 SHERMAN WAY",
            "address_2": "SUITE # 165",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063875",
            "telephone_number": "818-386-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERYL GOLDENBERG A PSYCHOLOGICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "DERYL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "805-452-7528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verdugo Hills Autism Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rupen Derboghosian Itutmazian, DDS
• Elizabeth Derboghosian, DDS
• Roberto Derboghosian, DDS
• Robin Derose, OTR,CHT,CVE
• Brittany Dery
• Jitendra N. Desai, M.D.
• Desante Home Health Inc
• Desante Hospice Services Inc
• Desante Med Group
• Gnana Desigan, MD

• Community/Behavioral Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.