Organization Active NPI

Susan Saxe-Clifford, PH.D. Apc

  • Clinical Psychologist
  • Encino, CA
National Provider Identifier
1669898797
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY4923 Issued in CA
Legal business name
SUSAN SAXE-CLIFFORD, PH.D. APC
Practice address
16530 Ventura Blvd Ste 203
Encino, CA 91436-4535
Phone
(818) 788-8005
Fax
(818) 788-8544
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Dr. Susan Saxe-Clifford, PH.D.
Title
President
Phone
(818) 788-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY4923 CA Primary

Addresses

Primary practice location

16530 Ventura Blvd Ste 203
Encino, CA 91436-4535

Mailing address

16530 Ventura Blvd Ste 203
Encino, CA 91436-4535
Phone (818) 788-8005

National Provider Directory

National Provider Directory

Locations

16530 Ventura Blvd
Ste 203
Encino, CA 91436
Phone (818) 788-8005

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1669898797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 VENTURA BLVD STE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364535",
            "telephone_number": "818-788-8005",
            "fax_number": "818-788-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 VENTURA BLVD STE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364535",
            "telephone_number": "818-788-8005",
            "fax_number": "818-788-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN SAXE-CLIFFORD, PH.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "SAXE-CLIFFORD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-788-8005",
        "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": "PSY4923",
            "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 Mar 13, 2014; 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.