ALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC
NPI 1104920230
Psychologist in Northridge, CA

Active since September 11, 2006
18546 ROSCOE BLVD, STE 210, NORTHRIDGE, CA 91324(818) 886-5628 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alta-grace L Tan, Psy D Psychological Services, Inc NPPES

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

ALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC (NPI 1104920230) is a healthcare organization registered as a psychologist in Northridge, California and active in the NPI registry since September 2006. The organization lists Alta-grace L Tan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104920230
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC
Location Address18546 ROSCOE BLVD, STE 210Northridge, CA 91324-5454
Mailing Address18546 Roscoe Blvd Ste 210Northridge, CA 91324-5454 · (818) 886-5628
Organization SubpartNo
Authorized OfficialAlta-grace L TanOwner · (818) 523-1809
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMay 28, 2010
NPI 1104920230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY18653
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
18546 ROSCOE BLVD, Northridge, CA 91324

Other Identifiers 1

Medicare PINW18678CA

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
18546 ROSCOE BLVD, #308
NORTHRIDGE, CA 91324
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
18546 ROSCOE BLVD, SUITE # 108
NORTHRIDGE, CA 91324
Psychiatry & Neurology (Psychiatry)
18546 ROSCOE BLVD, SUITE 210
NORTHRIDGE, CA 91324
Nutritionist (Nutrition, Education)
18546 ROSCOE BLVD, SUITE 230
NORTHRIDGE, CA 91324
Non-Pharmacy Dispensing Site
18546 ROSCOE BLVD, 312
NORTHRIDGE, CA 91324
Family Medicine
18546 ROSCOE BLVD, SUITE 230
NORTHRIDGE, CA 91324
Psychiatry & Neurology (Psychiatry)
18546 ROSCOE BLVD, SUITE 210
NORTHRIDGE, CA 91324
Marriage & Family Therapist
18546 ROSCOE BLVD, SUITE 210
NORTHRIDGE, CA 91324

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 Alta-Grace L Tan, Psy D Psychological Services, Inc's NPI number?

The NPI number for Alta-Grace L Tan, Psy D Psychological Services, Inc is 1104920230. It was assigned to this organization in the NPPES registry on September 11, 2006.

Where is Alta-Grace L Tan, Psy D Psychological Services, Inc located?

Alta-Grace L Tan, Psy D Psychological Services, Inc is located at 18546 Roscoe Blvd Ste 210, Northridge, CA 91324. The listed phone number is (818) 886-5628.

What is Alta-Grace L Tan, Psy D Psychological Services, Inc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Alta-Grace L Tan, Psy D Psychological Services, Inc was last updated on May 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.