SOUTHLAND PSYCHOLOGY INC
NPI 1043738412
Psychologist - Clinical in Sherman Oaks, CA

Q: What is Southland Psychology Inc's NPI number?

The NPI number for Southland Psychology Inc is 1043738412. It was assigned to this organization in the NPPES registry on September 6, 2017.

Q: What is Southland Psychology Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 06, 2017

15300 VENTURA BLVD STE 301, SHERMAN OAKS, CA 91403(310) 551-8535 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018 (2 updates tracked since 2018).

On this page

About Southland Psychology Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAND PSYCHOLOGY INC (NPI 1043738412) is a healthcare organization registered as a clinical in Sherman Oaks, California and active in the NPI registry since September 2017. The organization lists Jane Beresford, Psy.d, Owner, as its authorized official.

NPPES Registry Identity

NPI1043738412

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSOUTHLAND PSYCHOLOGY INC

Location Address15300 VENTURA BLVD STE 301Sherman Oaks, CA 91403-3103

Mailing Address15300 Ventura Blvd Ste 301Sherman Oaks, CA 91403-3103 · (310) 551-8535

Phone(310) 551-8535

Organization SubpartNo

Authorized OfficialJane BeresfordPsy.d, Owner · (310) 551-8535

Enumeration DateSeptember 6, 2017

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1043738412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 16618

Definition

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.

15300 VENTURA BLVD STE 301, Sherman Oaks, CA 91403

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southland Psychology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southland Psychology Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bethany Walters

Clinical Psychologist

NPI 1669223640

22606 HAMLIN ST
West Hills, CA 91307

(407) 620-1120

✔ PECOS✔ Accepts Medicare9.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southland Psychology Inc's NPI number?

The NPI number for Southland Psychology Inc is 1043738412. It was assigned to this organization in the NPPES registry on September 6, 2017.

Where is Southland Psychology Inc located?

Southland Psychology Inc is located at 15300 Ventura Blvd Ste 301, Sherman Oaks, CA 91403. The listed phone number is (310) 551-8535.

What is Southland Psychology Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Southland Psychology Inc enrolled in Medicare?

Yes. Southland Psychology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southland Psychology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Southland Psychology Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southland Psychology Inc was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.