Organization Active NPI

Lina Suchov a Professionalpsychological Corporation

  • Psychologist
  • Encino, CA
National Provider Identifier
1972867281
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14451 Issued in CA
Legal business name
LINA SUCHOV A PROFESSIONALPSYCHOLOGICAL CORPORATION
Practice address
16260 Ventura Blvd Ste LL30
Encino, CA 91436-4927
Phone
(818) 385-0336
Fax
(818) 385-1310
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Lina B Suchov, PH.D.NPI 1740384833
Title
Psychologist
Phone
(818) 385-0336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY14451 CA Primary

Addresses

Primary practice location

16260 Ventura Blvd Ste LL30
Encino, CA 91436-4927

Mailing address

16260 Ventura Blvd Ste LL30
Encino, CA 91436-4927
Phone (818) 385-0336

National Provider Directory

National Provider Directory
Tax ID family
Lina Suchov a Professional Psychology Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1972867281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE LL30",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364927",
            "telephone_number": "818-385-0336",
            "fax_number": "818-385-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE LL30",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364927",
            "telephone_number": "818-385-0336",
            "fax_number": "818-385-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINA SUCHOV A PROFESSIONALPSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "SUCHOV",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-385-0336",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14451",
            "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 Jul 2, 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.