Individual provider Active NPI

Rachel Casas, PH.D

  • Clinical Neuropsychologist
  • Ventura, CA
National Provider Identifier
1285099424
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
26689 Issued in CA
Practice address
507 San Clemente St
Ventura, CA 93001-3649
Phone
(805) 261-9186
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 26689 CA
Intellectual & Developmental Disabilities Psychologist 103TM1800X 26689 CA
Adult Development & Aging Psychologist 103TA0700X 26689 CA
Cognitive & Behavioral Psychologist 103TB0200X 26689 CA
Counseling Psychologist 103TC1900X 26689 CA
Clinical Neuropsychologist 103G00000X 26689 CA Primary

Addresses

Primary practice location

507 San Clemente St
Ventura, CA 93001-3649

Mailing address

507 San Clemente St
Ventura, CA 93001-3649

Other practice location 1

1301 Santa Monica Blvd Ste 150
Santa Monica, CA 90404-1707
Phone (310) 582-7641

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcasas1629873@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022001215 CA Practitioner - Clinical Psychologist 7214280239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Panos PHD a Professional Psychology Corporation Clinical Neuropsychologist CurrentSince Jul 6, 2025 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Mar 4, 2021 Accepting new patients
Saint John'S Health Clinic Past Accepting new patients

Locations

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

720 Wilshire Blvd
Ste 204
Santa Monica, CA 90401
Phone (323) 250-3905

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1301 20th St
Ste 150
Santa Monica, CA 90404
Phone (310) 582-7641

Organizations & group practices 3

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1285099424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SAN CLEMENTE ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SAN CLEMENTE ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013649",
            "telephone_number": "805-261-9186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Santa Monica Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041707",
            "country_code": "US",
            "telephone_number": "310-582-7641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASAS",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26689",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "26689",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "26689",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "26689",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "26689",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "26689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcasas1629873@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1301 20th St Ste 150",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.