Village Collaboration Station, PC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

VILLAGE COLLABORATION STATION, PC

Practice address

2721 E Main St
Ventura, CA 93003-2803

Phone

(805) 667-2841

Fax

(805) 948-2846

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Shaw, MDNPI 1093705915

Title

Ceo

Phone

(805) 479-7905

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Shaw, MD

  • Child & Adolescent Psychiatry Physician
  • Ventura, CA
  • NPI 1093705915
  NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1184342081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2312",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930112312",
            "telephone_number": "805-603-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032803",
            "telephone_number": "805-667-2841",
            "fax_number": "805-948-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE COLLABORATION STATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-479-7905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Cook Vielbig, MD
• Noel A Vierma
• Mayra Vieyra
• Vigilant Medical, Inc.
• Ruby Raylene Villa
• Claudia Villanueva, LMFT
• Gilbert Villarreal II
• Miguel Villegas Ventura
• Gabriela Villegas
• Ofelia M. Villordon

• Adolescent and Children Mental Health Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.