Provider Demographics
NPI:1417363334
Name:AMALIA RINKENBERGER
Entity Type:Organization
Organization Name:AMALIA RINKENBERGER
Other - Org Name:MENTAL HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:INDEPENDENT CONTRACTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMALIA
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:RINKENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-235-4261
Mailing Address - Street 1:P.O.BOX 5040
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91413-5101
Mailing Address - Country:US
Mailing Address - Phone:818-235-4261
Mailing Address - Fax:818-616-3478
Practice Address - Street 1:15720 VENTURA BLVD STE 303
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2985
Practice Address - Country:US
Practice Address - Phone:818-235-4261
Practice Address - Fax:818-616-3478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52334106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty