Organization Active NPI

California Institute of Neuropsychiatry, Inc

  • Physical Therapy Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1124517123
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CALIFORNIA INSTITUTE OF NEUROPSYCHIATRY, INC
Practice address
2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033
Phone
(805) 795-7656
Fax
(805) 618-1501
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Irina Muravyeva
Title
Administrative Director
Phone
(805) 795-7656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033

Mailing address

3435 E Thousand Oaks Blvd Unit 3789
Westlake Village, CA 91359-7930
Phone (805) 795-7656

Other identifiers 1

IdentifierTypeStateIssuer
1629057393MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1124517123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 E THOUSAND OAKS BLVD UNIT 3789",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913597930",
            "telephone_number": "805-795-7656",
            "fax_number": "805-618-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608033",
            "telephone_number": "805-795-7656",
            "fax_number": "805-618-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA INSTITUTE OF NEUROPSYCHIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "MURAVYEVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "805-795-7656"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629057393",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "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 May 4, 2018; 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.