Anita Bavarsky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 22481 Issued in CA

Practice address

23123 Ventura Blvd Ste 207
Woodland Hills, CA 91364-1175

Phone

(818) 340-4999

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1740481761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6671 BIRCHTON AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073204",
            "telephone_number": "818-340-4999",
            "fax_number": "818-340-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 VENTURA BLVD STE 207",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641175",
            "telephone_number": "818-340-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVARSKY",
        "first_name": "ANITA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 40516",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 22481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Bautista
• Jose Santos Bautista, PHARMD
• Kenneth Bautista, RBT
• Portia Bautista
• Tennesse Bautista, RPH
• Rita G Baxter, CRNA
• Tsendayush Bayanbileg, NONE
• Parissa T Bayat, DDS
• Rheyanneon Bazalaki
• Denise Morgan Bazaure

• Clinical Psychologist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.