Healthcare Provider Details

I. General information

NPI: 1659817062
Provider Name (Legal Business Name): CALIFORNIA PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2017
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25050 AVENUE KEARNY STE 203
VALENCIA CA
91355-1257
US

IV. Provider business mailing address

25050 AVENUE KEARNY STE 203
VALENCIA CA
91355-1257
US

V. Phone/Fax

Practice location:
  • Phone: 213-207-6561
  • Fax: 323-794-2041
Mailing address:
  • Phone: 213-207-6561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ERIK SHERMAN
Title or Position: OWNER
Credential: LCSW
Phone: 661-361-6465