CASEY T DOHERTY
NPI 1417635905
Peer Specialist in Tarzana, CA

Q: What is Casey Doherty's NPI number?

The NPI number for Casey Doherty is 1417635905. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Q: What is Casey Doherty's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Casey Doherty was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 06, 2023

18646 OXNARD ST TARZANA, CA 91356, TARZANA, CA 91356(818) 996-1051 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Casey T Doherty NPPES

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

CASEY T DOHERTY (NPI 1417635905) is an individual peer specialist in Tarzana, California, licensed in California (MPSS-XZYKQV) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1417635905

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameCASEY T DOHERTY

Location Address18646 OXNARD ST TARZANA, CA 91356Tarzana, CA 91356

Mailing Address6842 Mclennan AveLake Balboa, CA 91406-4529 · (702) 539-6560

Phone(818) 996-1051

Sole ProprietorNo

Enumeration DateJuly 6, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1417635905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-XZYKQV

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

18646 OXNARD ST TARZANA, CA 91356, Tarzana, CA 91356

Open in Google Maps ↗

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 Casey Doherty's NPI number?

The NPI number for Casey Doherty is 1417635905. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Casey Doherty located?

Casey Doherty practices at 18646 Oxnard St Tarzana, Ca 91356, Tarzana, CA 91356. The listed phone number is (818) 996-1051.

What is Casey Doherty's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Casey Doherty was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.