Healthcare Provider Details

I. General information

NPI: 1871438663
Provider Name (Legal Business Name): NEW ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21425 COHASSET ST
CANOGA PARK CA
91303-1450
US

IV. Provider business mailing address

21425 COHASSET ST
CANOGA PARK CA
91303-1450
US

V. Phone/Fax

Practice location:
  • Phone: 818-710-2640
  • Fax: 213-291-5042
Mailing address:
  • Phone: 818-710-2640
  • Fax: 213-291-5042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. EDDIE CASTRO
Title or Position: SCHOOL BUSINESS MANAGER
Credential:
Phone: 213-291-5042