Healthcare Provider Details

I. General information

NPI: 1346733581
Provider Name (Legal Business Name): JOSHUA KATELL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2018
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20151 NORDHOFF ST
CHATSWORTH CA
91311-6215
US

IV. Provider business mailing address

19200 NORDHOFF ST UNIT 816
NORTHRIDGE CA
91324-5187
US

V. Phone/Fax

Practice location:
  • Phone: 805-390-0183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number118110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: