NPI 1487593265 · live from the CMS NPI Registry
Act Group LLC
Psychologist in Glendale, CA. National Provider Identifier 1487593265, active.
NPI record
| NPI | 1487593265 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 450 N Brand Blvd Ste 600, Glendale, CA 91203 |
| Practice phone | 818-476-4884 |
| Enumerated | March 26, 2026 |
| Last updated | March 26, 2026 |
| Authorized official | Allain Constantino, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Pastoral | 101YP1600X | — |
| Psychologist, Adult Development & Aging | 103TA0700X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Health | 103TH0004X | — |
| Psychologist, Health Service | 103TH0100X | — |
| Psychologist, Prescribing (Medical) | 103TP0016X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | — |
| Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | 2084B0040X | — |
| Occupational Therapist, Mental Health | 225XM0800X | — |
| Clinical Nurse Specialist, Psych/Mental Health, Adult | 364SP0809X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.