Geriatric Evaluation & Neuropsychological Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21989 Issued in CA

Legal business name

GERIATRIC EVALUATION & NEUROPSYCHOLOGICAL SERVICES, INC

Practice address

15235 Burbank Blvd
A4
Van Nuys, CA 91411-3500

Phone

(818) 314-8088

Fax

(818) 708-8498

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jena Avital Kravitz, PSY.DNPI 1942463260

Title

President

Phone

(818) 314-8088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jena A Kravitz, PSY.D.

  • Clinical Neuropsychologist
  • Calabasas, CA
  • NPI 1942463260
  NPD (past) Authorized official

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1992938278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BLVD",
            "address_2": "578",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "818-314-8088",
            "fax_number": "818-708-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 BURBANK BLVD",
            "address_2": "A4",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113500",
            "telephone_number": "818-314-8088",
            "fax_number": "818-708-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC EVALUATION & NEUROPSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "KRAVITZ",
        "authorized_official_first_name": "JENA",
        "authorized_official_middle_name": "AVITAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-314-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.