Individual provider Active NPI

Joan K Dawson, PSY.D.

  • Psychiatric/Mental Health Nurse Practitioner
  • Westlake Village, CA
National Provider Identifier
1164555488
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN211395 Issued in CA
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

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
STI1422OtherCAPSYCHOLOGIST

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY20943CAMDClinical Psychologist
20943CAMDAcute Care Nurse Practitioner
RN211395CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychological Services Inc CurrentSince Mar 1, 2020 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.

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

Verify at the official NPI Registry.