Provider Demographics
NPI:1194602342
Name:N.S.G.G. CLINICAL PRACTICE & CO
Entity type:Organization
Organization Name:N.S.G.G. CLINICAL PRACTICE & CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SIOMARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CALIXTRO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-554-1653
Mailing Address - Street 1:13286 CRANSTON AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-3215
Mailing Address - Country:US
Mailing Address - Phone:818-554-1653
Mailing Address - Fax:818-554-1653
Practice Address - Street 1:13286 CRANSTON AVE
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-3215
Practice Address - Country:US
Practice Address - Phone:818-554-1653
Practice Address - Fax:818-554-1653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty