BOULEVARD THERAPY
NPI 1114442241
Psychologist - Clinical in Studio City, CA

NPI Status: Active since August 09, 2017

Contact Information

12456 VENTURA BLVD STE 1
STUDIO CITY, CA
ZIP 91604
Phone: (818) 512-8164

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  • Organization
  • Psychologist
  • Clinical

About BOULEVARD THERAPY

This page provides the complete NPI Profile along with additional information for Boulevard Therapy, a provider established in Studio City, California operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1114442241 assigned on August 2017. The practitioner's primary taxonomy code is 103TC0700X with license number PSY16783 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. Boulevard Therapy operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Nicole Walker Psy.d. (Clinical Psychologist/owner)

NPI
1114442241
Provider Name
BOULEVARD THERAPY
Entity Type
Organization
Location Address
12456 VENTURA BLVD STE 1 STUDIO CITY, CA 91604
Location Phone
(818) 512-8164
Mailing Address
12456 VENTURA BLVD STE 1 STUDIO CITY, CA 91604
Mailing Phone
(818) 512-8164
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2017
Last Update Date
07-21-2022
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A clinical psychologist like Boulevard Therapy assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY16783
License State
CA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. NICOLE WALKER PSY.D.

Authorized Official Title
CLINICAL PSYCHOLOGIST/OWNER
Authorized Official Phone
(818) 512-8164

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114442241
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212484428
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 8 + 4 + 4 + 2 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1114442241 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518443886MS. ROCHELLE MARTIROSIAN
Individual
Marriage & Family Therapist12456 VENTURA BLVD STE 1
STUDIO CITY, CA 91604
(818) 913-1787
1700196326MS. CLAUDIA DE GARMO MFT
Individual
Marriage & Family Therapist12456 VENTURA BLVD STE 1
STUDIO CITY, CA 91604
(310) 351-2251
1053445304DR. BARRY DANIEL COHEN PH.D.
Individual
Psychologist (Clinical)12456 VENTURA BLVD STE 1
STUDIO CITY, CA 91604
(310) 859-0505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114442241, enumerated in the NPI registry as an "organization" on August 09, 2017

The provider is located at 12456 Ventura Blvd Ste 1 Studio City, Ca 91604 and the phone number is (818) 512-8164

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on August 09, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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