Individual provider Active NPI

Daniela Pallafacchina, PSYD, MAMFT

  • Clinical Psychologist
  • Westlake Village, CA
National Provider Identifier
1194362749
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB94025174 Issued in CA
Practice address
3625 E Thousand Oaks Blvd Ste 209
Westlake Village, CA 91362-3566
Phone
(310) 801-1406
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSB94025174 CA Primary

Addresses

Primary practice location

3625 E Thousand Oaks Blvd Ste 209
Westlake Village, CA 91362-3566

Mailing address

4571 Via Pluma
Newbury Park, CA 91320-6960
Phone (310) 801-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSB94025174CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1194362749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 VIA PLUMA",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206960",
            "telephone_number": "310-801-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623566",
            "telephone_number": "310-801-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLAFACCHINA",
        "first_name": "DANIELA",
        "credential": "PSYD, MAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94025174",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 3, 2019; 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.