Organization Active NPI

Growing Minds Psychological Corporation

  • Clinical Psychologist
  • Granada Hills, CA
National Provider Identifier
1588068787
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GROWING MINDS PSYCHOLOGICAL CORPORATION
Practice address
16800 Devonshire St Ste 301
Granada Hills, CA 91344-7410
Phone
(323) 459-4968
Fax
(855) 380-5459
NPI assigned
Oct 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Dr. Svetlana Ravinovich, PSY.D.NPI 1760676464
Title
Psychologist/Owner
Phone
(323) 459-4968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X

Addresses

Primary practice location

16800 Devonshire St Ste 301
Granada Hills, CA 91344-7410

Mailing address

16800 Devonshire St Ste 301
Granada Hills, CA 91344-7410
Phone (323) 459-4968

Other practice location 1

771 E Daily Dr Ste 310
Camarillo, CA 93010-0784
Phone (323) 459-4968

Other practice location 2

3655 Alamo St Ste 300
Simi Valley, CA 93063-2187
Phone (323) 459-4968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150130000916 CA Part B Supplier - Clinic/Group Practice 3870817414 Receives reassigned benefits from 22 practitioners
Practice locations: Camarillo, CA; Granada Hills, CA; Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

601 E Daily Dr
Ste 210
Camarillo, CA 93010
Phone (323) 459-4968

771 E Daily Dr
Ste 310
Camarillo, CA 93010
Phone (323) 459-4968

16800 Devonshire St
Ste 301
Granada Hills, CA 91344
Phone (323) 459-4968

16800 Devonshire St
Ste 212
Granada Hills, CA 91344
Phone (323) 459-4968

10516 Santa Monica Blvd
Ste 2
Los Angeles, CA 90025
Phone (323) 459-4968

2730 Wilshire Blvd
Ste 660
Santa Monica, CA 90403
Phone (310) 829-4640

3655 Alamo St
Ste 300
Simi Valley, CA 93063
Phone (323) 459-4968

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1588068787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 DEVONSHIRE ST STE 301",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447410",
            "telephone_number": "323-459-4968",
            "fax_number": "855-380-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 DEVONSHIRE ST STE 301",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447410",
            "telephone_number": "323-459-4968",
            "fax_number": "855-380-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 E Daily Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930100784",
            "country_code": "US",
            "telephone_number": "323-459-4968",
            "fax_number": "855-380-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3655 Alamo St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930632187",
            "country_code": "US",
            "telephone_number": "323-459-4968",
            "fax_number": "855-380-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROWING MINDS PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "RAVINOVICH",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "323-459-4968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.