Provider Demographics
NPI:1093932378
Name:CLINICAL CONSULTANTS, INC
Entity Type:Organization
Organization Name:CLINICAL CONSULTANTS, INC
Other - Org Name:WILLIAM JOSEPHS, PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-783-9930
Mailing Address - Street 1:16661 VENTURA BLVD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1914
Mailing Address - Country:US
Mailing Address - Phone:818-783-9930
Mailing Address - Fax:818-783-9915
Practice Address - Street 1:16661 VENTURA BLVD
Practice Address - Street 2:SUITE 311
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1914
Practice Address - Country:US
Practice Address - Phone:818-783-9930
Practice Address - Fax:818-783-9915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7737103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY7737OtherSTATE PROV.#
CA=========OtherTAX ID #