Organization Active NPI

Juniper Psychological Services Professional Corporation

  • Clinical Psychologist
  • Glendale, CA
National Provider Identifier
1801755194
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JUNIPER PSYCHOLOGICAL SERVICES PROFESSIONAL CORPORATION
Practice address
611 N Brand Blvd
Glendale, CA 91203
Phone
(888) 652-3849
NPI assigned
Jan 21, 2026
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Courtney Boston, PHDNPI 1255943585
Title
Ceo/Psychologist
Phone
(888) 652-3849

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 Psychologist 103TC0700X Primary

Addresses

Primary practice location

611 N Brand Blvd
Glendale, CA 91203

Mailing address

213 N Glendale Ave # 1246
Glendale, CA 91206-4455
Phone (888) 652-3849

National Provider Directory

National Provider Directory

Locations

611 N Brand Blvd
Glendale, CA 91203
Phone (747) 286-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1801755194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N GLENDALE AVE # 1246",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064455",
            "telephone_number": "888-652-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "888-652-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER PSYCHOLOGICAL SERVICES PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CEO/PSYCHOLOGIST",
        "authorized_official_telephone_number": "888-652-3849",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.