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

Active since August 09, 2017
12456 VENTURA BLVD STE 1, STUDIO CITY, CA 91604(818) 512-8164 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 9, 2017 (2 updates tracked since 2017).

About Boulevard Therapy NPPES

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

BOULEVARD THERAPY (NPI 1114442241) is a healthcare organization registered as a clinical in Studio City, California and active in the NPI registry since August 2017. The organization lists Nicole Walker, Clinical Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1114442241
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBOULEVARD THERAPY
Location Address12456 VENTURA BLVD STE 1Studio City, CA 91604-2484
Mailing Address12456 Ventura Blvd Ste 1Studio City, CA 91604-2484 · (818) 512-8164
Phone(818) 512-8164
Organization SubpartNo
Authorized OfficialNicole WalkerClinical Psychologist/owner · (818) 512-8164
Enumeration DateAugust 9, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1114442241 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 · PSY16783
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.
12456 VENTURA BLVD STE 1, Studio City, CA 91604
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. BARRY DANIEL COHEN PH.D.
Psychologist (Clinical)
12456 VENTURA BLVD STE 1
STUDIO CITY, CA 91604
Los Angeles County (310) 859-0505
MS. ROCHELLE MARTIROSIAN
Marriage & Family Therapist
12456 VENTURA BLVD STE 1
STUDIO CITY, CA 91604
Los Angeles County (818) 913-1787
MS. CLAUDIA DE GARMO MFT
Marriage & Family Therapist
12456 VENTURA BLVD STE 1
STUDIO CITY, CA 91604
Los Angeles County (310) 351-2251

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 Boulevard Therapy's NPI number?

The NPI number for Boulevard Therapy is 1114442241. It was assigned to this organization in the NPPES registry on August 9, 2017.

Where is Boulevard Therapy located?

Boulevard Therapy is located at 12456 Ventura Blvd Ste 1, Studio City, CA 91604. The listed phone number is (818) 512-8164.

What is Boulevard Therapy's specialty?

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

When was this NPI record last updated?

The NPPES record for Boulevard Therapy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.