Active NPI
SSG School Psychology and Mental Health, PC
- School Counselor
- Ventura, CA
National Provider Identifier
1275330227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Legal business name
- SSG SCHOOL PSYCHOLOGY AND MENTAL HEALTH, PC
- Practice address
- 4880 Market St
Ventura, CA 93003-7783 - Phone
- (805) 364-8521
- NPI assigned
- Feb 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doug Moes, PH.D.
- Title
- President
- Phone
- (805) 915-9912
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| School Counselor | 101YS0200X | Primary | ||
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | |||
| School Psychologist | 103TS0200X | |||
| Social Worker | 104100000X | |||
| School Social Worker | 1041S0200X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
4880 Market St
Ventura, CA 93003-7783
Mailing address
4880 Market St
Ventura, CA 93003-7783
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740614400000",
"number": "1275330227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4880 MARKET ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4880 MARKET ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037783",
"telephone_number": "805-364-8521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SSG SCHOOL PSYCHOLOGY AND MENTAL HEALTH, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "MOES",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-915-9912",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.