Active NPI
Encino West Psychological Services
- Clinical Neuropsychologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- ENCINO WEST PSYCHOLOGICAL SERVICES
- Practice address
- 13101 W Washington Blvd Ste 122
Los Angeles, CA 90066-5176 - Phone
- (310) 895-4267
- Fax
- (213) 306-3974
- NPI assigned
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Staci Atkins, PSYD
- Title
- Owner
- Phone
- (310) 895-4267
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
13101 W Washington Blvd Ste 122
Los Angeles, CA 90066-5176
Mailing address
3740 Santa Rosalia Dr Apt 220
Los Angeles, CA 90008-3623
Phone (310) 895-4267
Other practice location 1
15233 Ventura Blvd
Sherman Oaks, CA 91403-2201
Phone (323) 304-0573
National Provider Directory
National Provider DirectoryLocations
13101 W Washington Blvd
Ste 122
Los Angeles, CA 90066
Phone (310) 895-4267
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Los Angeles, CA
- NPI 1891853461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1730984089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 SANTA ROSALIA DR APT 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083623",
"telephone_number": "310-895-4267",
"fax_number": "213-306-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13101 W WASHINGTON BLVD STE 122",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665176",
"telephone_number": "310-895-4267",
"fax_number": "213-306-3974"
}
],
"practiceLocations": [
{
"address_1": "15233 Ventura Blvd",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914032201",
"country_code": "US",
"telephone_number": "323-304-0573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENCINO WEST PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "ATKINS",
"authorized_official_first_name": "STACI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-895-4267",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.