Active NPI
Corey Pearson
- Psychologist
- Tarzana, CA
National Provider Identifier
1760055909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 18700 Oxnard St
Tarzana, CA 91356-1413 - Phone
- (818) 996-1051
- NPI assigned
- Jul 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
18700 Oxnard St
Tarzana, CA 91356-1413
Mailing address
18700 Oxnard St
Tarzana, CA 91356-1413
Phone (818) 996-1051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1760055909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18700 OXNARD ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561413",
"telephone_number": "818-996-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 OXNARD ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561413",
"telephone_number": "818-996-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "COREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-23",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.