Provider Demographics
NPI:1891844643
Name:CALIFORNIA PSYCHOLOGICAL ASSOCIATES
Entity Type:Organization
Organization Name:CALIFORNIA PSYCHOLOGICAL ASSOCIATES
Other - Org Name:CALIFORNIA PSYCHOLOGICAL ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HALOTE
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:818-752-3330
Mailing Address - Street 1:P.O. BOX 4368
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91617
Mailing Address - Country:US
Mailing Address - Phone:818-752-3330
Mailing Address - Fax:818-508-4820
Practice Address - Street 1:16311 VENTURA BLVD.
Practice Address - Street 2:SUITE 1050
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436
Practice Address - Country:US
Practice Address - Phone:818-752-3330
Practice Address - Fax:818-508-4820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty