Healthcare Provider Details

I. General information

NPI: 1295214054
Provider Name (Legal Business Name): PSYCHOLOGICAL PHITT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2018
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320 CANOGA AVE STE 1500
WOODLAND HILLS CA
91367-2517
US

IV. Provider business mailing address

6320 CANOGA AVE STE 1500
WOODLAND HILLS CA
91367-2517
US

V. Phone/Fax

Practice location:
  • Phone: 323-418-2978
  • Fax:
Mailing address:
  • Phone: 888-413-9553
  • Fax: 323-417-5113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY30106
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY30106
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPSY30106
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY30106
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPSY30106
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. RHYAN NICOLE FOSTER DANIEL
Title or Position: OWNER/CEO
Credential: PSYD
Phone: 888-413-9553