Organization · Type 2 NPI

Phantom Psychology Group, Inc.

Clinical Psychologist · Sherman Oaks, CA

NPI number 1265358378 Active

Practice location

5000 Van Nuys Blvd Ste 202
Sherman Oaks, CA 91403-1717

Mailing address

2155 Verdugo Blvd # 130
Montrose, CA 91020-1628

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1265358378

Phantom Psychology Group, Inc.'s National Provider Identifier is 1265358378, issued on Jun 24, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Sherman Oaks, CA. The record was last updated on Oct 9, 2026.