NPIMap

Organization Active NPI

Vista Psychological Center, Inc

Doing business as Vista Center for Behavior Analysis

  • Psychologist
  • Newhall, CA
National Provider Identifier
1053487090
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY11229 Issued in CA
Legal business name
VISTA PSYCHOLOGICAL CENTER, INC
Doing business as
Vista Center for Behavior Analysis
Practice address
23030 Lyons Ave Ste 102
Newhall, CA 91321-2755
Phone
(661) 425-7066
Fax
(805) 299-4505
NPI assigned
Nov 28, 2006
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
VISTA PSYCHOLOGICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
H. Keith Massel, PH.D., BCBANPI 1558616201
Title
President
Phone
(805) 689-6610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY11229 CA Primary

Addresses

Primary practice location

23030 Lyons Ave Ste 102
Newhall, CA 91321-2755

Mailing address

3905 State St Ste 7-276
Santa Barbara, CA 93105-3138
Phone (805) 689-6610

Other identifiers 1

IdentifierTypeStateIssuer
GPS000680MedicaidCA

Other names 1

  • Vista Center for Behavior Analysis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vista Psychological Center Inc2 organizations share this tax ID, including this one
Part of
Vista Psychological Center Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23030 Lyons Ave
Ste 102
Newhall, CA 91321
Phone (661) 425-7066

3905 State St
Ste 7276
Santa Barbara, CA 93105

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1053487090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 STATE ST STE 7-276",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053138",
            "telephone_number": "805-689-6610",
            "fax_number": "805-299-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23030 LYONS AVE STE 102",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212755",
            "telephone_number": "661-425-7066",
            "fax_number": "805-299-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PSYCHOLOGICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISTA PSYCHOLOGICAL CENTER",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "MASSEL",
        "authorized_official_first_name": "H. KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-689-6610",
        "authorized_official_credential": "PH.D., BCBA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPS000680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Center for Behavior Analysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Center for Behavior Analysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.