Organization Active NPI

Taubenfeld Psychological Services

  • Clinical Psychologist
  • Glendale, CA
National Provider Identifier
1578510004
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18267 Issued in CA
Legal business name
TAUBENFELD PSYCHOLOGICAL SERVICES
Practice address
200 N Maryland Ave
Suite 310
Glendale, CA 91206-4262
Phone
(818) 243-0903
Fax
(818) 243-0905
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Wayne A. Taubenfeld, PH.D.
Title
Ceo
Phone
(310) 529-8293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY18267 CA Primary

Addresses

Primary practice location

200 N Maryland Ave
Suite 310
Glendale, CA 91206-4262

Mailing address

200 N Maryland Ave
Suite 310
Glendale, CA 91206-4262
Phone (818) 243-0903

National Provider Directory

National Provider Directory

Locations

2622 Mountain View Rd
El Monte, CA 91732
Phone (626) 448-1682

200 N Maryland Ave
Ste 310
Glendale, CA 91206
Phone (818) 243-0903

100 N Brand Blvd
#249
Glendale, CA 91203
Phone (818) 242-8804

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": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1578510004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MARYLAND AVE",
            "address_2": "SUITE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064262",
            "telephone_number": "818-243-0903",
            "fax_number": "818-243-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MARYLAND AVE",
            "address_2": "SUITE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064262",
            "telephone_number": "818-243-0903",
            "fax_number": "818-243-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAUBENFELD PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "TAUBENFELD",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-529-8293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.