Heidi Michelle Elowitch, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY29816 Issued in CA

Practice address

200 S Wells Rd
Clinicas del Camino Real Inc
Ventura, CA 93004-1302

Phone

(805) 732-9446

Fax

(805) 647-7163

NPI assigned

Sep 6, 2006

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Heidi Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1023111093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 ALESSANDRO DR",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203503",
            "telephone_number": "805-732-9446",
            "fax_number": "805-494-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WELLS RD",
            "address_2": "CLINICAS DEL CAMINO REAL INC",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041302",
            "telephone_number": "805-732-9446",
            "fax_number": "805-647-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELOWITCH",
        "first_name": "HEIDI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "TAYLOR",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychologist in Ventura, CA
• Providers in Ventura, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.