| Pacific Coast Psychology Group, Inc. | |
|
1014 S Westlake Blvd Ste 14-243 Westlake Village CA 91361-3108 | |
| (805) 242-2429 | |
| (310) 870-7197 |
| Full Name | Pacific Coast Psychology Group, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1014 S Westlake Blvd Ste 14-243, Westlake Village, California |
| Authorized Official Name and Position | Joshua Jonathan Williams (CEO) |
| Authorized Official Contact | 8052422429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Psychology Group, Inc. 1014 S Westlake Blvd Ste 14-243 Westlake Village CA 91361-3108 Ph: (805) 242-2429 | Pacific Coast Psychology Group, Inc. 1014 S Westlake Blvd Ste 14-243 Westlake Village CA 91361-3108 Ph: (805) 242-2429 |
| NPI Number | 1932647468 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 9335410729 |
|---|---|
| Medicare Enrollment ID | O20170803000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932647468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Tracey Burrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811079809 PECOS PAC ID: 0749315349 Enrollment ID: I20100322000591 |
| Provider Name | Joshua J Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285863613 PECOS PAC ID: 8820248271 Enrollment ID: I20121022000421 |
| Provider Name | Roberto J Vado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740601228 PECOS PAC ID: 9739481490 Enrollment ID: I20160112002226 |
| Provider Name | Moses S Shirinian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477902864 PECOS PAC ID: 9436288578 Enrollment ID: I20160621001499 |
| Provider Name | Andrea Rae Ormonde Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013146802 PECOS PAC ID: 5092093237 Enrollment ID: I20161024000819 |
| Provider Name | Andrew Hartwig Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376036772 PECOS PAC ID: 0446642235 Enrollment ID: I20220128001989 |
| Provider Name | Shauna L Papenbrook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780165860 PECOS PAC ID: 8224380589 Enrollment ID: I20220706002533 |
| Provider Name | Cheng Vang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306287347 PECOS PAC ID: 9234508300 Enrollment ID: I20221212002318 |
| Provider Name | Patricia Sikkeland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669780292 PECOS PAC ID: 7012386063 Enrollment ID: I20221213003142 |
| Provider Name | Mariela Vega |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932274875 PECOS PAC ID: 6608241864 Enrollment ID: I20230331002446 |
| Provider Name | Karen Sue Murphy-acosta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851732937 PECOS PAC ID: 4688049661 Enrollment ID: I20230404002554 |
| Provider Name | Tiffany Rose Bornn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760064463 PECOS PAC ID: 3476918913 Enrollment ID: I20230504003278 |
| Provider Name | Rhiannon Jensen Rabine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669093589 PECOS PAC ID: 2264886431 Enrollment ID: I20230922000925 |
| Provider Name | Tara Sue Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093981524 PECOS PAC ID: 1052767555 Enrollment ID: I20231019000862 |
| Provider Name | Jose-antonio Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780353565 PECOS PAC ID: 8820441678 Enrollment ID: I20240128000231 |
| Provider Name | Cherish Lynn Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770617888 PECOS PAC ID: 2466805213 Enrollment ID: I20240128000244 |
| Provider Name | Christina L Pouquette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184488850 PECOS PAC ID: 9032559950 Enrollment ID: I20240425002480 |
| Provider Name | Jennifer Irene Adamo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518290154 PECOS PAC ID: 5991145633 Enrollment ID: I20240429003313 |
Edelman Media Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5743 Corsa Ave, 223, Westlake Village, CA 91362 Phone: 818-635-5191 | |
Now House Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31324 Via Colinas Ste 111, Westlake Village, CA 91362 Phone: 805-807-0642 Fax: 818-436-4679 | |
Dr. Weissman Psychology, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5706 Corsa Ave Ste 200i, Westlake Village, CA 91362 Phone: 818-336-1041 | |
Sport Psychology By Carrie Hastings Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Hampshire Rd Ste 100, Westlake Village, CA 91361 Phone: 805-242-5771 Fax: 805-242-2829 | |
Sabira Saifuddin Md, A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31194 La Baya Dr Ste 202, Westlake Village, CA 91362 Phone: 805-341-3416 Fax: 818-865-8214 | |
Lester Summerfield And Associates, A Psychological Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4045 E Thousand Oaks Blvd, Suite 220, Westlake Village, CA 91362 Phone: 805-496-6992 Fax: 805-496-4787 | |
James E Landen Md Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 N Westlake Blvd Ste 220, Westlake Village, CA 91362 Phone: 805-906-9538 Fax: 805-496-4186 |