IndividualActive
Mary Igo, M.D.
NPI 1124210653 · Psychiatry Physician · Reseda, CA
Provider details
- NPI number
- 1124210653
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- G068164 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18040 Sherman Way
Reseda, CA 91335
Phone: (818) 883-9941
Fax: (818) 346-4253
Street-level locationGet directions
Mailing address
23257 Gilmore St
West Hills, CA 91307-3427
Registry dates
- Enumerated
- 2007-08-17
- Last updated
- 2008-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.