Individual provider Active NPI

David Paul Plotkin, PHD

  • Clinical Psychologist
  • Encino, CA
National Provider Identifier
1477572725
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19818 Issued in CA
Practice address
16055 Ventura Blvd Ste 715
Encino, CA 91436-2610
Phone
(310) 470-9994
Fax
(310) 882-6820
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY19818 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd Ste 715
Encino, CA 91436-2610

Mailing address

16055 Ventura Blvd Ste 715
Encino, CA 91436-2610
Phone (310) 470-9994

Other practice location 1

300 Ucla Medical Plz Ste 2200
Los Angeles, CA 90095-2610
Phone (310) 825-9989

Other practice location 2

11030 Santa Monica Blvd Ste 302
Los Angeles, CA 90025-7590
Phone (310) 470-9994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY19818CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David Plotkin, PH.D. Clinical CurrentSince Jan 1, 1990 Accepting new patients
David Plotkin CurrentSince Jan 1, 1990 Accepting new patients
Stewart Psychological Wellness Group, Inc Clinical PastSince Jul 20, 2022 Accepting new patients

Locations

16055 Ventura Blvd
Ste 724
Encino, CA 91436
Phone (310) 285-8355

16055 Ventura Blvd
Ste 715
Encino, CA 91436
Phone (310) 470-9994

1964 Westwood Blvd
Ste 310
Los Angeles, CA 90025
Phone (310) 470-9994

11030 Santa Monica Blvd
Ste 302
Los Angeles, CA 90025
Phone (310) 470-9994

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/cehQG_SigJUv0o-Q08WrVZtDzYZ_7ohK/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1477572725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 715",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362610",
            "telephone_number": "310-470-9994",
            "fax_number": "310-882-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 715",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362610",
            "telephone_number": "310-470-9994",
            "fax_number": "310-882-6820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ucla Medical Plz Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900952610",
            "country_code": "US",
            "telephone_number": "310-825-9989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11030 Santa Monica Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900257590",
            "country_code": "US",
            "telephone_number": "310-470-9994",
            "fax_number": "310-882-6820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLOTKIN",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.