Organization Active NPI

Learning Dynamics, Inc.

  • Community/Behavioral Health Agency
  • Woodland Hills, CA
National Provider Identifier
1497091045
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEARNING DYNAMICS, INC.
Practice address
22837 Ventura Blvd
Woodland Hills, CA 91364-1224
Phone
(310) 855-3276
Fax
(310) 393-9893
NPI assigned
Dec 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Nicole Brown, PSY.D.
Title
Executive Director
Phone
(310) 855-3276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

22837 Ventura Blvd
Woodland Hills, CA 91364-1224

Mailing address

22837 Ventura Blvd
Suite 200
Woodland Hills, CA 91364-1224
Phone (310) 855-3276

Other practice location 1

7300 Stockdale Hwy
Bakersfield, CA 93309-2233
Phone (310) 855-3279

Other practice location 2

663 Cochran St # 114
Simi Valley, CA 93065-1939
Phone (310) 855-3276

Other identifiers 2

IdentifierTypeStateIssuer
GX727AOtherCAMEDICARE PTAN
CA178403OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130211000213 CA Part B Supplier - Clinic/Group Practice 4981858487 Practice locations: Bakersfield, CA; Simi Valley, CA; Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

4605 Buena Vista Rd
Ste 600110
Bakersfield, CA 93311

7300 Stockdale Hwy
Bakersfield, CA 93309
Phone (310) 393-9893

356 E Olive Ave
Ste 113
Burbank, CA 91502
Phone (310) 855-3276

663 Cochran St
#114
Simi Valley, CA 93065
Phone (310) 855-3276

663 Cochran St
Ste 114
Simi Valley, CA 93065
Phone (310) 855-3276

22837 Ventura Blvd
Woodland Hills, CA 91364
Phone (310) 855-3276

22837 Ventura Blvd
Ste 200
Woodland Hills, CA 91364
Phone (310) 855-3276

Practitioners & affiliated clinicians

Practitioners 12

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": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1497091045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22837 VENTURA BLVD",
            "address_2": "SUITE 200",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641224",
            "telephone_number": "310-855-3276",
            "fax_number": "310-393-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22837 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641224",
            "telephone_number": "310-855-3276",
            "fax_number": "310-393-9893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Stockdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092233",
            "country_code": "US",
            "telephone_number": "310-855-3279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "663 Cochran St # 114",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651939",
            "country_code": "US",
            "telephone_number": "310-855-3276",
            "fax_number": "310-393-9893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEARNING DYNAMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-855-3276",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GX727A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA178403",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.