Active NPI
Brian Swanson, PSY.D., J.D.
- Clinical Psychologist
- Encino, CA
National Provider Identifier
1972814622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY25582
- Practice address
- 5400 Balboa Blvd
Suite 311
Encino, CA 91316-1502 - Phone
- (818) 971-9446
- NPI assigned
- Jun 28, 2010
- Last updated
- Jun 26, 2014
- 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 | PSY25582 | CA | Primary |
Addresses
Primary practice location
5400 Balboa Blvd
Suite 311
Encino, CA 91316-1502
Mailing address
5400 Balboa Blvd
Suite 311
Encino, CA 91316-1502
Phone (818) 971-9446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25582 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1972814622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 BALBOA BLVD",
"address_2": "SUITE 311",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161502",
"telephone_number": "818-971-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 BALBOA BLVD",
"address_2": "SUITE 311",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161502",
"telephone_number": "818-971-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PSY.D., J.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-28",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25582",
"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 Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.