Active NPI
Joan K Dawson, PSY.D.
- Psychiatric/Mental Health Nurse Practitioner
- Westlake Village, CA
National Provider Identifier
1164555488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN211395
- Practice address
- 31824 Village Center Rd
Suite E
Westlake Village, CA 91361-4337 - Phone
- (818) 991-1063
- Fax
- (818) 991-1064
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20943 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN211395 | CA | Primary |
Addresses
Primary practice location
31824 Village Center Rd
Suite E
Westlake Village, CA 91361-4337
Mailing address
764 Coraltree LN Apt 254
Oak Park, CA 91377-5450
Phone (818) 324-8390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| STI1422 | Other | CA | PSYCHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20943 | CA | MD | Clinical Psychologist |
| 20943 | CA | MD | Acute Care Nurse Practitioner |
| RN211395 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychological Services Inc | Current | Accepting new patients |
Locations
30423 Canwood St
Ste 130
Agoura Hills, CA 91301
Phone (818) 707-7366
30495 Canwood St
Ste 101
Agoura Hills, CA 91301
Phone (818) 707-7366
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 and National Provider Directory roles.
-
- Psychologist
- Agoura Hills, CA
- NPI 1881746733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1164555488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 CORALTREE LN APT 254",
"city": "OAK PARK",
"state": "CA",
"postal_code": "913775450",
"telephone_number": "818-324-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31824 VILLAGE CENTER RD",
"address_2": "SUITE E",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913614337",
"telephone_number": "818-991-1063",
"fax_number": "818-991-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JOAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20943",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "RN211395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST",
"identifier": "STI1422",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.