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

Gary J Penn, PHD

Individual provider Clinical Psychologist · NPI 1902806607

Gary J Penn, PHD is a Clinical Psychologist in Beverly Hills, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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

435 N Bedford Dr Ste 112
Beverly Hills, CA 90210-4321
Phone: (310) 274-4372
Fax: (310) 274-5146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY16149 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY16149 (CA)

Record details

NPI number1902806607
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESJuly 13, 2026

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