Healthcare Provider Details

I. General information

NPI: 1972650562
Provider Name (Legal Business Name): BARRY A. HALOTE, PH. D. - APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12520 MAGNOLIA BLVD SUITE #302
NORTH HOLLYWOOD CA
91607-2336
US

IV. Provider business mailing address

12520 MAGNOLIA BLVD SUITE #302
NORTH HOLLYWOOD CA
91607-2336
US

V. Phone/Fax

Practice location:
  • Phone: 818-752-3330
  • Fax: 818-508-4820
Mailing address:
  • Phone: 818-752-3330
  • Fax: 818-508-4820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY 10111
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY 10111
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY 10111
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 10111
License Number StateCA

VIII. Authorized Official

Name: DR. BARRY A. HALOTE
Title or Position: PSYCHOLOGIST
Credential: PH. D.
Phone: 818-752-3330