Organization Active NPI

Behavioral Support Services Inc.

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1477574523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC20858 Issued in CA
Legal business name
BEHAVIORAL SUPPORT SERVICES INC.
Practice address
17547 Ventura Blvd
Suite 307a
Encino, CA 91316-3853
Phone
(818) 995-1333
Fax
(661) 424-9447
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Antonio Buono, PSY.D.NPI 1760992614
Title
Director
Phone
(661) 424-1314

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC20858 CA Primary

Addresses

Primary practice location

17547 Ventura Blvd
Suite 307a
Encino, CA 91316-3853

Mailing address

PO Box 2357
Canyon Country, CA 91386-2357
Phone (661) 424-1314

National Provider Directory

National Provider Directory

Locations

17547 Ventura Blvd
Ste 307A
Encino, CA 91316
Phone (818) 995-1333

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477574523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2357",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913862357",
            "telephone_number": "661-424-1314",
            "fax_number": "661-424-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17547 VENTURA BLVD",
            "address_2": "SUITE 307A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163853",
            "telephone_number": "818-995-1333",
            "fax_number": "661-424-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL SUPPORT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUONO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-424-1314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC20858",
            "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 Aug 22, 2020; 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.