Provider Demographics
NPI:1164063871
Name:BARTON, JOHNDAVID (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOHNDAVID
Middle Name:
Last Name:BARTON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:947 N LA CIENEGA BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4700
Mailing Address - Country:US
Mailing Address - Phone:213-357-1496
Mailing Address - Fax:
Practice Address - Street 1:947 N LA CIENEGA BLVD STE H
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-4700
Practice Address - Country:US
Practice Address - Phone:213-357-1496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA33010103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program