NPIMap

Organization Active NPI

Engage Psychotherapy, Inc.

  • Community/Behavioral Health Agency
  • Westlake VLG, CA
National Provider Identifier
1154998037
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENGAGE PSYCHOTHERAPY, INC.
Practice address
2625 Townsgate Rd Ste 210
Westlake VLG, CA 91361-5754
Phone
(805) 497-0605
Fax
(805) 371-4862
NPI assigned
Jun 8, 2021
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Dr. Blake Brisbois, PSYDNPI 1669826723
Title
Ceo
Phone
(805) 497-0605

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2625 Townsgate Rd Ste 210
Westlake VLG, CA 91361-5754

Mailing address

2625 Townsgate Rd Ste 210
Westlake VLG, CA 91361-5754
Phone (805) 497-0605

National Provider Directory

National Provider Directory

Locations

2625 Townsgate Rd
Ste 210
Westlake Vlg, CA 91361
Phone (805) 497-0605

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1154998037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 TOWNSGATE RD STE 210",
            "city": "WESTLAKE VLG",
            "state": "CA",
            "postal_code": "913615754",
            "telephone_number": "805-497-0605",
            "fax_number": "805-371-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TOWNSGATE RD STE 210",
            "city": "WESTLAKE VLG",
            "state": "CA",
            "postal_code": "913615754",
            "telephone_number": "805-497-0605",
            "fax_number": "805-371-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGE PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "BRISBOIS",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-497-0605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake VLG, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.