Healthcare Provider Details

I. General information

NPI: 1205969797
Provider Name (Legal Business Name): STIRLING ACADEMY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6931 VAN NUYS BLVD. #101-102
VAN NUYS CA
91405
US

IV. Provider business mailing address

6931 VAN NUYS BLVD STE 102
VAN NUYS CA
91405-3980
US

V. Phone/Fax

Practice location:
  • Phone: 818-376-0134
  • Fax: 818-376-1437
Mailing address:
  • Phone: 818-376-0134
  • Fax: 818-376-1437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberPSY6925
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberPSB31242
License Number StateCA

VIII. Authorized Official

Name: DR. CAROLINE BROOMAND
Title or Position: EXECUTIVE DIRECTOR
Credential: EDD
Phone: 818-376-0134