Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulevard Therapy

Organization Clinical Psychologist · NPI 1114442241

Boulevard Therapy is a Clinical Psychologist in Studio City, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

12456 Ventura Blvd Ste 1
Studio City, CA 91604-2484
Phone: (818) 512-8164
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY16783 (CA)

Record details

NPI number1114442241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Walker — Clinical Psychologist/Owner · (818) 512-8164
NPI enumeratedAugust 9, 2017
Last updated in NPPESJuly 21, 2022
Mailing address12456 Ventura Blvd Ste 1, Studio City, CA 91604-2484

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