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MARK IMHOFF PH.D. INC. A PSYCHOLOGICAL CORPORATION NPI 1184746505


NPI Information

NPI: 1184746505
Provider Name: MARK IMHOFF, PH.D., INC., A PSYCHOLOGICAL CORPORATION
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
4001 W ALAMEDA AVE
SUITE 110
BURBANK, CA
ZIP 91505
Phone: (818) 843-8465
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MARK IMHOFF, PH.D., INC., A PSYCHOLOGICAL CORPORATION is a clinical psychologist in Burbank, CA. The provider is 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. MARK IMHOFF, PH.D., INC., A PSYCHOLOGICAL CORPORATION NPI is 1184746505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4001 W ALAMEDA AVE
SUITE 110
BURBANK, CA
ZIP 91505-338
Phone: (818) 843-8465
Fax: (818) 843-2435

The provider's authorized official is Mark Imhoff .
The authorized official title is Psychologist and has the following contact phone number (818) 843-8465.

The enumeration date for this NPI number is 4/5/2007 and was last updated on 12/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY7221CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CP7221MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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