DR. ELIZABETH CHULACK PSYD
NPI 1306329537
Psychologist - Clinical in Glendale, CA

Active since September 13, 2018
1101 N PACIFIC AVE STE 204, GLENDALE, CA 91202(818) 392-5343 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2019, Sep 13, 2018 (2 updates tracked since 2018).

About Dr. Elizabeth Chulack Psyd NPPES

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

DR. ELIZABETH CHULACK PSYD (NPI 1306329537) is an individual clinical provider in Glendale, California, licensed in California (31290) and active in the NPI registry since September 2018. She maintains a secondary practice location in Camarillo.

NPPES Registry Identity

NPI1306329537
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELIZABETH CHULACKCredential: PSYD
Location Address1101 N PACIFIC AVE STE 204Glendale, CA 91202-4316
Mailing AddressPo Box 4973West Hills, CA 91308-4973
Sole ProprietorNo
Enumeration DateSeptember 13, 2018
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
NPI 1306329537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 31290
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.

Also ListedPsychologistTaxonomy 103T00000X · License 31290 (CA)
1101 N PACIFIC AVE STE 204, Glendale, CA 91202

Secondary Practice Location 1

Location 11722 S Lewis RdCamarillo, CA 93012-8520 · Phone (805) 366-4242

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychologist (Clinical)
1101 N PACIFIC AVE STE 204
GLENDALE, CA 91202
Clinic/Center (Multi-Specialty)
1101 N PACIFIC AVE STE 204
GLENDALE, CA 91202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306329537, enumerated as an "individual" on September 13, 2018.

The provider is located at 1101 N PACIFIC AVE STE 204 GLENDALE, CA 91202 and the phone number is (818) 392-5343.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.