Active NPI
Eugene H Paulin, PSY. D.
- Clinical Psychologist
- Burbank, CA
National Provider Identifier
1881713469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20403
- Practice address
- 540 N Fairview St
Burbank, CA 91505-3247 - Phone
- (818) 729-0303
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20403 | CA | Primary |
Addresses
Primary practice location
540 N Fairview St
Burbank, CA 91505-3247
Mailing address
540 N Fairview St
Burbank, CA 91505-3247
Phone (818) 729-0303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881713469 | Other | CA | MEDICARE NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051109001068 | CA | Practitioner - Clinical Psychologist | 9830117662 | Practice locations: Van Nuys, CA; Sylmar, CA; Montrose, CA; Burbank, CA |
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": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1881713469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 N FAIRVIEW ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053247",
"telephone_number": "818-729-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 N FAIRVIEW ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053247",
"telephone_number": "818-729-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULIN",
"first_name": "EUGENE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "20403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1881713469",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.