Cortex Behavioral Health, Corp.
Clinical Neuropsychologist in Encino, CA. Organization (NPI-2).
Details
- NPI
- 1275604274
- Entity type
- Organization (NPI-2)
- Legal business name
- Cortex Behavioral Health, Corp.
- Organization subpart
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | Psy10973 | CA | Yes |
| 103G00000X | Clinical Neuropsychologist | Psy13806 | CA | |
| 103T00000X | Psychologist | Psy13806 | CA |
Practice location
17337 Ventura Blvd Ste 206Encino, CA 91316-4926
Phone 818-995-4477 · Fax 818-995-4171
Mailing address
17337 Ventura Blvd Ste 206Encino, CA 91316-4926
Phone 818-995-4477 · Fax 818-995-4171
Authorized official
Ellen Shirman
Clinical Psychologist
8189954477
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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