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

Individual provider Clinical Psychologist · NPI 1629381561

Dr. Joseph R Taravella, PHD is a Clinical Psychologist in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10801 National Blvd Ste 240
Los Angeles, CA 90064-4141
Phone: (917) 865-0572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16 Pilot Ln, Staten Island, NY 10309-2847 — (917) 865-0572

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY30856 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 016241 (NY)

Record details

NPI number1629381561
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 20, 2010
Last updated in NPPESOctober 17, 2020
Certification dateOctober 16, 2020

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