Organization Active NPI

Gerson Psychological Corp

  • Clinical Psychologist
  • Encino, CA
National Provider Identifier
1922158302
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY3338 Issued in CA
Legal business name
GERSON PSYCHOLOGICAL CORP
Practice address
5435 Balboa Blvd
Ste 203
Encino, CA 91316-1508
Phone
(818) 995-3311
Fax
(818) 995-8358
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Allan Gerson, PH.D.
Title
President
Phone
(818) 995-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY3338 CA Primary

Addresses

Primary practice location

5435 Balboa Blvd
Ste 203
Encino, CA 91316-1508

Mailing address

5435 Balboa Blvd
Ste 203
Encino, CA 91316-1508
Phone (818) 995-3311

National Provider Directory

National Provider Directory

Locations

5435 Balboa Blvd
Ste 203
Encino, CA 91316
Phone (881) 881-4800

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922158302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 BALBOA BLVD",
            "address_2": "STE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161508",
            "telephone_number": "818-995-3311",
            "fax_number": "818-995-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BALBOA BLVD",
            "address_2": "STE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161508",
            "telephone_number": "818-995-3311",
            "fax_number": "818-995-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERSON PSYCHOLOGICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERSON",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-995-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY3338",
            "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 22, 2020; 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.