Active NPI
Glaser Fornesic Group
- Forensic Psychologist
- Encino, CA
National Provider Identifier
1548538945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- G40041
- Legal business name
- GLASER FORNESIC GROUP
- Practice address
- 16530 Ventura Blvd
601
Encino, CA 91436-4554 - Phone
- (818) 382-9920
- Fax
- (818) 385-1155
- NPI assigned
- Dec 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Golter
- Title
- Executive Director
- Phone
- (818) 382-9920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | G40041 | CA | Primary |
Addresses
Primary practice location
16530 Ventura Blvd
601
Encino, CA 91436-4554
Mailing address
16530 Ventura Blvd
601
Encino, CA 91436-4554
Phone (818) 382-9920
National Provider Directory
National Provider Directory- Tax ID family
- Glaser Forensic Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
16530 Ventura Blvd
Ste 601
Encino, CA 91436
Phone (818) 382-9920
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Encino, CA
- NPI 1508292988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323734400000",
"number": "1548538945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16530 VENTURA BLVD",
"address_2": "601",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364554",
"telephone_number": "818-382-9920",
"fax_number": "818-385-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16530 VENTURA BLVD",
"address_2": "601",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364554",
"telephone_number": "818-382-9920",
"fax_number": "818-385-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLASER FORNESIC GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A",
"authorized_official_last_name": "GOLTER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "818-382-9920"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "G40041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
- Arlyne Girard
- Claudia Giron
- Giselle Namazie MD a Medical Corporation
- Jacob Gisis
- Giving Hands Home Health Care Inc.
- Jeffrey B Glaser, MD
- Glenmark Nursing Care Services Inc.
- Glenna Tolbert MD a Medical Corporation (Center for Rehabilitation and Wellness)
- Glenna Tolbert, MD, a Medical Corporation (Center for Rehabilitation & Wellness)
- Craig Allen Glick, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.