Individual provider Active NPI

John Guido Geirland, PH.D.

  • Psychologist
  • Burbank, CA
National Provider Identifier
1730310780
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY25197 Issued in CA
Practice address
4444 W Riverside Dr Ste 305
Burbank, CA 91505-4048
Phone
(747) 333-8148
NPI assigned
Aug 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY25197 CA Primary
Clinical Psychologist 103TC0700X PSY25197 CA

Addresses

Primary practice location

4444 W Riverside Dr Ste 305
Burbank, CA 91505-4048

Mailing address

4335 Beck Ave
Studio City, CA 91604-2806
Phone (818) 448-4231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000255 CA Practitioner - Clinical Psychologist 0345492245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4444 W Riverside Dr
Suite 305
Burbank, CA 91505-4048
Phone (747) 333-8148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25197CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Concept Healthcare Psychology Group Inc CurrentSince Apr 22, 2013 Accepting new patients
John Geirland PH.D. Psychotherapy Corporation Psychologist CurrentSince Oct 19, 2012 Accepting new patients

Locations

4444 W Riverside Dr
Ste 305
Burbank, CA 91505
Phone (323) 454-3562

622 S Anza St
El Cajon, CA 92020
Phone (619) 442-0544

1977 Lomita Blvd
Lomita, CA 90717
Phone (310) 325-1970

4231 Balboa Ave
San Diego, CA 92117
Phone (858) 377-6941

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1730310780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 BECK AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042806",
            "telephone_number": "818-448-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR STE 305",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054048",
            "telephone_number": "747-333-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIRLAND",
        "first_name": "JOHN",
        "middle_name": "GUIDO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25197",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.