MEDICARE: HELEN GRUSD PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	PSY8800	CA
2	103TC0700X	Clinical Psychologist	PSY8800	CA

General Provider Information

NPI Number	:	1407074412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN GRUSD PH.D

Provider Business Mailing Address
First Line	:	4419 VAN NUYS BLVD
Second Line	:	401
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-2910
Country	:	US
Telephone Number	:	818-501-6714
Fax Number	:	818-501-7903

Provider Business Practice Location Address
First Line	:	4419 VAN NUYS BLVD
Second Line	:	401
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-2910
Country	:	US
Telephone Number	:	818-501-6714
Fax Number	:	818-501-7903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	09/11/2025

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