Healthcare Provider Details

I. General information

NPI: 1023425741
Provider Name (Legal Business Name): ANNIKA BARINHOLTZ PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 02/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4370 TUJUNGA AVE STE 150
STUDIO CITY CA
91604-2753
US

IV. Provider business mailing address

4534 MATILIJA AVE
SHERMAN OAKS CA
91423-2919
US

V. Phone/Fax

Practice location:
  • Phone: 818-416-9996
  • Fax:
Mailing address:
  • Phone: 818-519-2212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY28533
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: