Individual provider Active NPI

Cassandra Delacoeur, PH.D.

  • Clinical Psychologist
  • Santa Paula, CA
National Provider Identifier
1275740250
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15214 Issued in CA
Practice address
901 Cliff Dr
Santa Paula, CA 93060-1266
Phone
(805) 654-8012
Fax
(805) 654-8012
NPI assigned
May 17, 2007
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 PSY15214 CA Primary

Addresses

Primary practice location

901 Cliff Dr
Santa Paula, CA 93060-1266

Mailing address

901 Cliff Dr
Santa Paula, CA 93060-1266
Phone (805) 654-8012

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15214CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1275740250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CLIFF DR",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930601266",
            "telephone_number": "805-654-8012",
            "fax_number": "805-654-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CLIFF DR",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930601266",
            "telephone_number": "805-654-8012",
            "fax_number": "805-654-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACOEUR",
        "first_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.