Organization Active NPI

Brian Henley Clinical Psychology

  • Clinical Psychologist
  • Glendale, CA
National Provider Identifier
1417709247
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BRIAN HENLEY CLINICAL PSYCHOLOGY
Practice address
1530 E Chevy Chase Dr Ste 209
Glendale, CA 91206-4139
Phone
(818) 497-5184
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Brian HenleyNPI 1710366547
Title
Ceo
Phone
(818) 497-5184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1530 E Chevy Chase Dr Ste 209
Glendale, CA 91206-4139

Mailing address

1530 E Chevy Chase Dr Ste 209
Glendale, CA 91206-4139

National Provider Directory

National Provider Directory

Locations

1530 E Chevy Chase Dr
Ste 209
Glendale, CA 91206
Phone (818) 497-5184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1417709247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064139",
            "telephone_number": "818-497-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN HENLEY CLINICAL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-497-5184"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 4, 2024; 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.