Organization 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
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Apr 14, 2022

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, PSYDNPI 1962650242
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1962650242OtherCAINDIVIDUAL NPI NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theranest.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.