Individual provider Active NPI

Ebony Christian

  • Clinical Psychologist
  • North Hollywood, CA
National Provider Identifier
1861322968
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36721 Issued in CA
Practice address
11950 W Erwin Street #501
North Hollywood, CA 91606-3343
Phone
(805) 283-9845
NPI assigned
May 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36721 CA Primary

Addresses

Primary practice location

11950 W Erwin Street #501
North Hollywood, CA 91606-3343

Mailing address

12439 Magnolia Blvd Ste 225
Valley Village, CA 91607-2450
Phone (805) 283-9845

Other practice location 1

12439 Magnolia Blvd Ste 225
Valley Village, CA 91607-2450
Phone (805) 283-9845

Other names 1

  • Ebony Marie Christian Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1861322968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12439 MAGNOLIA BLVD STE 225",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072450",
            "telephone_number": "805-283-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 W ERWIN STREET #501",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063343",
            "telephone_number": "805-283-9845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12439 Magnolia Blvd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Valley Village",
            "state": "CA",
            "postal_code": "916072450",
            "country_code": "US",
            "telephone_number": "805-283-9845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "EBONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "36721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "CHRISTIAN",
            "middle_name": "MARIE",
            "credential": "PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.