Organization Active NPI

Dr. Clarita Wisnia

  • Community/Behavioral Health Agency
  • Encino, CA
National Provider Identifier
1639313562
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY13323 Issued in CA
Legal business name
DR. CLARITA WISNIA
Practice address
16260 Ventura Blvd
Suite LL30
Encino, CA 91436-2203
Phone
(818) 990-5906
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Dr. Clarita Wisnia, PH.D.
Title
Owner
Phone
(818) 990-5906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY13323 CA Primary

Addresses

Primary practice location

16260 Ventura Blvd
Suite LL30
Encino, CA 91436-2203

Mailing address

16260 Ventura Blvd
Suite LL30
Encino, CA 91436-2203
Phone (818) 990-5906

National Provider Directory

National Provider Directory

Locations

16260 Ventura Blvd
Ste LL30
Encino, CA 91436
Phone (818) 385-0336

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1639313562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "SUITE LL30",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-990-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "SUITE LL30",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-990-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CLARITA WISNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "WISNIA",
        "authorized_official_first_name": "CLARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-990-5906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY13323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.