Innovate Psychology Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20962 Issued in CA

Legal business name

INNOVATE PSYCHOLOGY INC

Practice address

23632 Calabasas Rd Ste 202
Calabasas, CA 91302-1737

Phone

(818) 797-4653

Fax

(747) 226-0291

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sonia Herten-Greaven, PH.D.NPI 1568525467

Title

Director

Phone

(818) 797-4653

Specialties & licenses 1

Addresses

Other names 1

• Sonia Greaven, Ph.D. Other name

Locations

Practitioners 1

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

• Sonia Herten-Greaven, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Calabasas, CA
  • NPI 1568525467
  NPD (past) Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1609356450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23632 CALABASAS RD STE 202",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021737",
            "telephone_number": "818-797-4653",
            "fax_number": "747-226-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23632 CALABASAS RD STE 202",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021737",
            "telephone_number": "818-797-4653",
            "fax_number": "747-226-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16055 Ventura Blvd Ste 715",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362610",
            "country_code": "US",
            "telephone_number": "818-797-4653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATE PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "HERTEN-GREAVEN",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-797-4653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonia Greaven, Ph.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Calabasas, CA
• Providers in Calabasas, 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 20, 2018; 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.