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Casey Doherty
NPI 1417635905 · Peer Specialist · Tarzana, CA
Casey Doherty is a Peer Specialist provider in Tarzana, CA (NPI 1417635905).
Provider details
- NPI number
- 1417635905
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- MPSS-XZYKQV (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
18646 Oxnard St Tarzana, Ca 91356
Tarzana, CA 91356
Phone: (818) 996-1051
Street-level locationGet directions
Mailing address
6842 Mclennan Ave
Lake Balboa, CA 91406-4529
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2023-07-06
- Certified
- 2023-06-28
Frequently asked questions
- What is Casey Doherty's NPI number?
- Casey Doherty's National Provider Identifier (NPI) is 1417635905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Casey Doherty's specialty?
- Casey Doherty is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Casey Doherty located?
- Casey Doherty's practice location on file with NPPES is 18646 Oxnard St Tarzana, Ca 91356, Tarzana, CA 91356.
- What is Casey Doherty's phone number?
- The practice phone number listed in the NPPES registry for Casey Doherty is (818) 996-1051.
- Is Casey Doherty's NPI active?
- Yes — Casey Doherty's NPI (1417635905) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.