Active NPI
Sarah de Los Santos, PSYD, a Professional Psychological Corporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Thousand Oaks, CA
National Provider Identifier
1104569425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SARAH DE LOS SANTOS, PSYD, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
- Practice address
- 145 Hodencamp Rd Ste 204
Thousand Oaks, CA 91360-5817 - Phone
- (818) 324-0423
- Fax
- (805) 855-4949
- NPI assigned
- Apr 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah Alethea De Los Santos, PSYD
- Title
- Owner
- Phone
- (818) 324-0423
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
145 Hodencamp Rd Ste 204
Thousand Oaks, CA 91360-5817
Mailing address
3816 Young Wolf Dr
Simi Valley, CA 93065-0253
Phone (818) 324-0423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962650242 | Other | CA | INDIVIDUAL NPI NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Theranest.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Thousand Oaks, CA
- NPI 1962650242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649894400000",
"number": "1104569425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 YOUNG WOLF DR",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930650253",
"telephone_number": "818-324-0423",
"fax_number": "805-855-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HODENCAMP RD STE 204",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605817",
"telephone_number": "818-324-0423",
"fax_number": "805-855-4949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARAH DE LOS SANTOS, PSYD, A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A",
"authorized_official_last_name": "DE LOS SANTOS",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "ALETHEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-324-0423",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1962650242",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Theranest.com",
"affiliation": "N",
"endpointDescription": "Therapy platform that includes hipaa secure messaging.",
"address_1": "145 Hodencamp Rd Ste 204",
"city": "Thousand Oaks",
"state": "CA",
"country_code": "US",
"postal_code": "913605817",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.