Richelle Konczak

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSB94023119 Issued in CA

Practice address

18646 Oxnard St
Tarzana, CA 91356

Phone

(818) 996-1051

NPI assigned

Nov 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shani Habibi PHD Inc a Psychological Corporation

  • Clinical Psychologist
  • Reseda, CA
  • NPI 1083079586
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1396287918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561411",
            "telephone_number": "818-996-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-996-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18700 Oxnard St",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913561413",
            "country_code": "US",
            "telephone_number": "818-996-1051 x1379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11026 Ventura Blvd",
            "address_2": "Suite 12",
            "address_purpose": "LOCATION",
            "city": "Studio City",
            "state": "CA",
            "postal_code": "916043566",
            "country_code": "US",
            "telephone_number": "818-850-2554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18700 Oxnard St",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913561413",
            "country_code": "US",
            "telephone_number": "818-996-1051 x1379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONCZAK",
        "first_name": "RICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94023119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babik Ruben Kohanteb, PHARM.D.
• Frederick Michael Kohn, M.D.
• Stephen Kolb
• Amelia Jean Kolenc
• Savina Emilova Kollmorgen, MPT
• Stecy Konian
• Natalya Korablin, M.A.; L
• Jonathan Korbelak
• Nader Korhani, MFT
• Dilara Kosak

• Psychologist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.