Healthcare Provider Details

I. General information

NPI: 1902346091
Provider Name (Legal Business Name): HEALTHY FOCUS PSYCHOLOGICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2017
Last Update Date: 03/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16430 VENTURA BLVD SUITE 203
ENCINO CA
91436-2115
US

IV. Provider business mailing address

16430 VENTURA BOULEVARD SUITE 203
ENCINO CA
91436
US

V. Phone/Fax

Practice location:
  • Phone: 818-732-5271
  • Fax:
Mailing address:
  • Phone: 818-732-5271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. KARRIE LAGER
Title or Position: PSYCHOLOGIST/PRESIDENT
Credential: PSY.D.
Phone: 818-732-5271