Individual provider Active NPI

Janet Urquizu, LCS21386

  • Clinical Psychologist
  • West Hills, CA
National Provider Identifier
1114043783
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22763 Issued in CA
Practice address
6700 Fallbrook Ave
Conference Room
West Hills, CA 91307-3530
Phone
(818) 744-2135
Fax
(818) 713-1062
NPI assigned
Mar 22, 2007
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS21386 CA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY22763 CA Primary

Addresses

Primary practice location

6700 Fallbrook Ave
Conference Room
West Hills, CA 91307-3530

Mailing address

6700 Fallbrook Ave
Conference Room
West Hills, CA 91307-3530
Phone (818) 744-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090822000009 CA Practitioner - Clinical Psychologist 5395899561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY22763CAMDClinical Psychologist
LCS21386CAMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1114043783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 FALLBROOK AVE",
            "address_2": "CONFERENCE ROOM",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073530",
            "telephone_number": "818-744-2135",
            "fax_number": "818-713-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 FALLBROOK AVE",
            "address_2": "CONFERENCE ROOM",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073530",
            "telephone_number": "818-744-2135",
            "fax_number": "818-713-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUIZU",
        "first_name": "JANET",
        "credential": "LCS21386",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21386",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.