| Thriveworks Clinical - California Pc | |
|
2804 Camino Dos Rios Ste 206 Thousand Oaks CA 91320-1175 | |
| (855) 284-7483 | |
| Not Available |
| Full Name | Thriveworks Clinical - California Pc |
|---|---|
| Speciality | Counselor |
| Location | 2804 Camino Dos Rios Ste 206, Thousand Oaks, California |
| Authorized Official Name and Position | Mackenzie Jennings (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6174544916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriveworks Clinical - California Pc 1000 Jefferson St Ste 2c Lynchburg VA 24504-1724 Ph: () - | Thriveworks Clinical - California Pc 2804 Camino Dos Rios Ste 206 Thousand Oaks CA 91320-1175 Ph: (855) 284-7483 |
| NPI Number | 1801481395 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Medicare PECOS PAC ID | 1759785645 |
|---|---|
| Medicare Enrollment ID | O20220421000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801481395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Juan C Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295833242 PECOS PAC ID: 2567418783 Enrollment ID: I20050330000636 |
| Provider Name | Gurminder Kaur Sahasi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942500491 PECOS PAC ID: 4385833052 Enrollment ID: I20110111000639 |
| Provider Name | Marissa Garcia Elpidama |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750665915 PECOS PAC ID: 3678730249 Enrollment ID: I20120209000226 |
| Provider Name | Shaheen Emmanuel Lakhan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649585944 PECOS PAC ID: 4082937255 Enrollment ID: I20151105000541 |
| Provider Name | Sarah M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528532603 PECOS PAC ID: 8426396656 Enrollment ID: I20190214000645 |
| Provider Name | Carla M Francisco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609282623 PECOS PAC ID: 7012340425 Enrollment ID: I20191125002370 |
| Provider Name | Fernando M Avila |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962783464 PECOS PAC ID: 8628345386 Enrollment ID: I20200317001821 |
| Provider Name | Aneel Ursani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982085676 PECOS PAC ID: 3577863232 Enrollment ID: I20200427002472 |
| Provider Name | Madeline Esther Brener |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285864918 PECOS PAC ID: 9032540984 Enrollment ID: I20200511001090 |
| Provider Name | Scott Moore Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821038159 PECOS PAC ID: 5799715413 Enrollment ID: I20210202002873 |
| Provider Name | Debra Annette Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386891943 PECOS PAC ID: 4789080912 Enrollment ID: I20210913003228 |
| Provider Name | Nicole Delpasand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558901967 PECOS PAC ID: 4587056387 Enrollment ID: I20220127001266 |
| Provider Name | Souphaphone Hagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205466570 PECOS PAC ID: 7416336870 Enrollment ID: I20220615002606 |
| Provider Name | Keleigh Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609298926 PECOS PAC ID: 6204215890 Enrollment ID: I20220628003180 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679713739 PECOS PAC ID: 0749660140 Enrollment ID: I20220701000455 |
| Provider Name | Kathryn Suzanne Potts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558701961 PECOS PAC ID: 3971986175 Enrollment ID: I20220822001381 |
| Provider Name | Jamie F Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992220297 PECOS PAC ID: 2264844265 Enrollment ID: I20220824002903 |
| Provider Name | Rebecca Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811555840 PECOS PAC ID: 3971987868 Enrollment ID: I20220825003575 |
| Provider Name | Jeremiah Hein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508234907 PECOS PAC ID: 5395114342 Enrollment ID: I20221213003136 |
| Provider Name | Chioma F Okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962041939 PECOS PAC ID: 7113399346 Enrollment ID: I20230215002722 |
| Provider Name | Mary Cherub Tagle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790011492 PECOS PAC ID: 4082088554 Enrollment ID: I20230323002216 |
| Provider Name | Sheree Jean Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578070892 PECOS PAC ID: 1759755002 Enrollment ID: I20230328001214 |
| Provider Name | Jill Jeanette Gravois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053540575 PECOS PAC ID: 1557736741 Enrollment ID: I20230330002376 |
| Provider Name | Eleuterio V Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255037727 PECOS PAC ID: 2769847417 Enrollment ID: I20230502001290 |
| Provider Name | Sara Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063596583 PECOS PAC ID: 8729352364 Enrollment ID: I20230606000807 |
| Provider Name | Andrew Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265786339 PECOS PAC ID: 4486968302 Enrollment ID: I20230705001426 |
| Provider Name | Ryan Richard Wade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588027403 PECOS PAC ID: 5496173338 Enrollment ID: I20230706001833 |
| Provider Name | Janae Lorraine Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306599618 PECOS PAC ID: 2163883943 Enrollment ID: I20230726000798 |
| Provider Name | Barbara Ann Center |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497909147 PECOS PAC ID: 5890781017 Enrollment ID: I20230810003544 |
| Provider Name | Amy Ruth Saloner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801594726 PECOS PAC ID: 2062874472 Enrollment ID: I20230817000579 |
| Provider Name | Kimberlee Beth Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184790644 PECOS PAC ID: 4587027206 Enrollment ID: I20230829002008 |
| Provider Name | Erika Kyte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124803374 PECOS PAC ID: 1254795982 Enrollment ID: I20230914000983 |
| Provider Name | Marcela Luna Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225795420 PECOS PAC ID: 3971950957 Enrollment ID: I20231113003026 |
| Provider Name | Martha J Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942876057 PECOS PAC ID: 5698127769 Enrollment ID: I20240115001123 |
| Provider Name | Artmiz Bahadori |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295022697 PECOS PAC ID: 4284086356 Enrollment ID: I20240115001281 |
| Provider Name | Sharlese L Jones |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700085966 PECOS PAC ID: 7416309596 Enrollment ID: I20240115001447 |
| Provider Name | Sarah Cybulski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902276322 PECOS PAC ID: 0648622720 Enrollment ID: I20240115001565 |
| Provider Name | Blanca Monique Sevilla |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215451513 PECOS PAC ID: 6800248881 Enrollment ID: I20240115001664 |
| Provider Name | Miriam Lamb |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366832297 PECOS PAC ID: 0941652929 Enrollment ID: I20240115001745 |
| Provider Name | Thuy Ulrich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831427285 PECOS PAC ID: 3678925641 Enrollment ID: I20240116002556 |
| Provider Name | Megan Yamasaki |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447738000 PECOS PAC ID: 8628420593 Enrollment ID: I20240116002715 |
| Provider Name | Catherine Mcrae |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013360684 PECOS PAC ID: 2567814007 Enrollment ID: I20240119002170 |
| Provider Name | Amanda Hults |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376193409 PECOS PAC ID: 5395198261 Enrollment ID: I20240126001773 |
| Provider Name | Gladys Mendez-sauza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003164740 PECOS PAC ID: 3971956806 Enrollment ID: I20240126004182 |
| Provider Name | Ann Alsaadi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841513488 PECOS PAC ID: 0345686499 Enrollment ID: I20240311003725 |
| Provider Name | Venise Russ |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275062960 PECOS PAC ID: 8628414398 Enrollment ID: I20240315003691 |
| Provider Name | Ilya Shtykan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598129017 PECOS PAC ID: 1052750312 Enrollment ID: I20240418003867 |
| Provider Name | Janeen Vieira-taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487913596 PECOS PAC ID: 8022457381 Enrollment ID: I20240418004010 |
| Provider Name | Roman Shain |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134250467 PECOS PAC ID: 2365881679 Enrollment ID: I20240419001240 |
| Provider Name | Meghan Denike |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639364177 PECOS PAC ID: 9234579947 Enrollment ID: I20240429002190 |
| Provider Name | Elizabeth Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972091627 PECOS PAC ID: 1759733207 Enrollment ID: I20240509001019 |
| Provider Name | Crystal Saidi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932590593 PECOS PAC ID: 7113369265 Enrollment ID: I20240521003988 |
| Provider Name | Elizabeth Marie Walker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497200950 PECOS PAC ID: 2163863325 Enrollment ID: I20240528001417 |
| Provider Name | Sasha Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336271972 PECOS PAC ID: 8628410917 Enrollment ID: I20240531003685 |
Sunderlin Behavioral Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 E Avenida De Los Arboles, #270, Thousand Oaks, CA 91360 Phone: 805-208-3875 Fax: 805-823-4462 | |
Don M Goodman Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Hodencamp Rd Ste 103, Thousand Oaks, CA 91360 Phone: 818-917-4524 Fax: 800-878-7720 | |
Mountain Light, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1396 Roselawn Ave, Thousand Oaks, CA 91362 Phone: 805-443-5859 | |
Mark Jude Tramo Md Apc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 555 Marin St Ste 200, Thousand Oaks, CA 91360 Phone: 805-495-6702 Fax: 805-495-6195 | |
Lorne S Label M D A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Lynn Rd, Suite 230, Thousand Oaks, CA 91360 Phone: 805-497-4500 Fax: 805-495-1717 | |
Circle Of Life Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Marin St, 202, Thousand Oaks, CA 91360 Phone: 805-494-1414 | |
Kaditam V. Reddy, M.d. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 227 W Janss Rd Ste 350, Thousand Oaks, CA 91360 Phone: 805-918-5008 Fax: 888-587-3339 |