Healthcare Provider Details

I. General information

NPI: 1588199632
Provider Name (Legal Business Name): ACT-ASSOCIATES IN CLINICAL THERAPY, A PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 07/01/2023
Certification Date: 07/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22231 MULHOLLAND HWY STE 106
CALABASAS CA
91302-5178
US

IV. Provider business mailing address

22231 MULHOLLAND HWY STE 106
CALABASAS CA
91302-5178
US

V. Phone/Fax

Practice location:
  • Phone: 818-222-9300
  • Fax:
Mailing address:
  • Phone: 818-222-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. MELODIE R SCHAEFER
Title or Position: PRESIDENT, CHIEF OPERATING OFFICER
Credential: PSY.D.
Phone: 818-222-9300