Active NPI
Howard Mishkin, PH.D.
- Psychologist
- Van Nuys, CA
National Provider Identifier
1477672616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY18247
- Practice address
- 6651 Balboa Blvd
Van Nuys, CA 91406-5529 - Phone
- (818) 997-2640
- Fax
- (818) 609-7488
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY18247 | CA | Primary |
Addresses
Primary practice location
6651 Balboa Blvd
Van Nuys, CA 91406-5529
Mailing address
6651 Balboa Blvd
Van Nuys, CA 91406-5529
Phone (213) 694-0045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18247 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1477672616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 BALBOA BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914065529",
"telephone_number": "213-694-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6651 BALBOA BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914065529",
"telephone_number": "818-997-2640",
"fax_number": "818-609-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHKIN",
"first_name": "HOWARD",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY18247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.