Maury T.Carlin,,PH.D,a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY3068 Issued in CA

Legal business name

MAURY T.CARLIN,,PH.D,A PSYCHOLOGICAL CORPORATION

Practice address

16311 Ventura Blvd
Suite 1050
Encino, CA 91436-2124

Phone

(818) 783-3836

Fax

(818) 783-3832

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maury Theodore Carlin II, PH.D.

Title

President-Clinical Psychologist

Phone

(818) 783-3836

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487674099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD,",
            "address_2": "SUITE 1050",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364347",
            "telephone_number": "818-783-3836",
            "fax_number": "818-783-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE 1050",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-783-3836",
            "fax_number": "818-783-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURY T.CARLIN,,PH.D,A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLIN",
        "authorized_official_first_name": "MAURY",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT-CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-783-3836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• 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.