Myah Tarnow Gittelson, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY24388 Issued in CA

Practice address

4705 Laurel Canyon Blvd Ste 204
Valley Village, CA 91607-3998

Phone

(818) 538-4112

NPI assigned

Dec 9, 2008

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gittelson Psychology Services

  • Psychologist
  • Valley Village, CA
  • NPI 1760296503
  NPD Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1861637589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 LAUREL CANYON BLVD STE 204",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073998",
            "telephone_number": "818-538-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 LAUREL CANYON BLVD STE 204",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073998",
            "telephone_number": "818-538-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTELSON",
        "first_name": "MYAH",
        "middle_name": "TARNOW",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "102803 PROVISIONAL",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Golden State Psychological Services, Inc.

• Psychologist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.