Active NPI
Jennifer Callahan, PSY.D
- Clinical Psychologist
- Westlake Village, CA
National Provider Identifier
1013354166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY25258
- Practice address
- 3835 E Thousand Oaks Blvd # 364
Westlake Village, CA 91362-3637 - Phone
- (818) 583-6221
- NPI assigned
- May 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY25258 | CA | Primary |
Addresses
Primary practice location
3835 E Thousand Oaks Blvd # 364
Westlake Village, CA 91362-3637
Mailing address
3835 E Thousand Oaks Blvd # 364
Westlake Village, CA 91362-3637
Phone (818) 583-6221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25258 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668211200000",
"number": "1013354166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 E THOUSAND OAKS BLVD # 364",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913623637",
"telephone_number": "818-583-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3835 E THOUSAND OAKS BLVD # 364",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913623637",
"telephone_number": "818-583-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2022-11-12",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.