Active NPI
Gerson Psychological Corp
- Clinical Psychologist
- Encino, CA
National Provider Identifier
1922158302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY3338
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.