Organization Active NPI

Stein Psychological Associates, Inc.

  • Psychologist
  • Encino, CA
National Provider Identifier
1912255258
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
16135 Issued in CA
Legal business name
STEIN PSYCHOLOGICAL ASSOCIATES, INC.
Practice address
16001 Ventura Boulevard
Suite 125
Encino, CA 91436
Phone
(818) 789-5035
Fax
(818) 267-5718
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Mark Stein, PH.D.
Title
President
Phone
(818) 789-5035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 16135 CA Primary

Addresses

Primary practice location

16001 Ventura Boulevard
Suite 125
Encino, CA 91436

Mailing address

16001 Ventura Blvd Ste 125
Encino, CA 91436-4445
Phone (818) 789-5035

National Provider Directory

National Provider Directory

Locations

16001 Ventura Blvd
Ste 125
Encino, CA 91436
Phone (818) 789-5035

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1912255258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 VENTURA BLVD STE 125",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364445",
            "telephone_number": "818-789-5035",
            "fax_number": "818-267-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 VENTURA BOULEVARD",
            "address_2": "SUITE 125",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-789-5035",
            "fax_number": "818-267-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEIN PSYCHOLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-5035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "16135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.