Joseph R Taravella, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30856 Issued in CA

Practice address

10801 National Blvd Ste 240
Los Angeles, CA 90064-4141

Phone

(917) 865-0572

NPI assigned

Jul 20, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1629381561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644141",
            "telephone_number": "917-865-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644141",
            "telephone_number": "917-865-0572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Pilot Ln",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103092847",
            "country_code": "US",
            "telephone_number": "917-865-0572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARAVELLA",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016241",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eshley Taranto, FNP
• Jeffrey L Taranto, O.D.
• Erica Renee Tarasen, CRNA
• Agne Taraseviciute, M.D., PH.D.
• Irina Taratynova, RN
• Claudia Aileen Tarazon
• Sophia Melina Tardieux
• Tammy Tarhini, MD
• Diane Chie Tarica, DDS
• Lucila Tarin, M.D.

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.