Active NPI
Michelle Conover PHD a Psychological Corporation
- Clinical Neuropsychologist
- Woodland Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY21871
- Legal business name
- MICHELLE CONOVER PHD A PSYCHOLOGICAL CORPORATION
- Practice address
- 5950 Canoga Ave Ste 100
Woodland Hills, CA 91367-5052 - Phone
- (818) 340-7700
- Fax
- (818) 340-7701
- NPI assigned
- Dec 12, 2011
- 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
- Dr. Michelle Conover, PH.D.
- Title
- Chief Executive Officer
- Phone
- (818) 340-7700
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 | PSY21871 | CA | Primary |
Addresses
Primary practice location
5950 Canoga Ave Ste 100
Woodland Hills, CA 91367-5052
Mailing address
5950 Canoga Ave Ste 100
Woodland Hills, CA 91367-5052
Phone (818) 340-7700
Other names 1
- Southern California Neuropsychology Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21031 Ventura Blvd
Ste 704
Woodland Hills, CA 91364
Phone (818) 340-7700
5950 Canoga Ave
Ste 100
Woodland Hills, CA 91367
Phone (818) 340-7700
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Woodland Hills, CA
- NPI 1619126125
-
- Psychologist
- Woodland Hills, CA
- NPI 1659853844
-
- Family Nurse Practitioner
- Richmond, VA
- NPI 1558964262
-
- Marriage & Family Therapist
- Woodland Hills, CA
- NPI 1588065874
-
- Clinical Neuropsychologist
- Woodland Hills, CA
- NPI 1487586194
-
- Marriage & Family Therapist
- Irwindale, CA
- NPI 1578832333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1740558253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5950 CANOGA AVE STE 100",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913675052",
"telephone_number": "818-340-7700",
"fax_number": "818-340-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 CANOGA AVE STE 100",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913675052",
"telephone_number": "818-340-7700",
"fax_number": "818-340-7701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE CONOVER PHD A PSYCHOLOGICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-12",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "CONOVER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "818-340-7700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY21871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern California Neuropsychology Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southern California Neuropsychology Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.