Organization Active NPI

Encino West Psychological Services

  • Clinical Neuropsychologist
  • Los Angeles, CA
National Provider Identifier
1730984089
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
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

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Staci Atkins, PSYDNPI 1891853461
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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.