Active NPI
Justin Daniel Barker, PSY.D.
- Clinical Psychologist
- Culver City, CA
National Provider Identifier
1326499039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31921
- Practice address
- 5701 W Slauson Ave Ste 140
Culver City, CA 90230-6503 - Phone
- (424) 272-1554
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 31921 | CA | Primary |
Addresses
Primary practice location
5701 W Slauson Ave Ste 140
Culver City, CA 90230-6503
Mailing address
24 Rose Ave Apt C
Venice, CA 90291-2457
Phone (626) 864-6412
Other practice location 1
250 W 57th St
Suite 501
New York, NY 10107-0001
Phone (212) 582-1566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 11, 2021 through Jan 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transform Psychotherapy Apc | Current | Accepting new patients | |
| National Institute for the Psychotherapies Training Institute | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1588248306
-
- School Psychologist
- New York, NY
- NPI 1083834345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1326499039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ROSE AVE APT C",
"city": "VENICE",
"state": "CA",
"postal_code": "902912457",
"telephone_number": "626-864-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W SLAUSON AVE STE 140",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306503",
"telephone_number": "424-272-1554"
}
],
"practiceLocations": [
{
"address_1": "250 W 57th St",
"address_2": "Suite 501",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101070001",
"country_code": "US",
"telephone_number": "212-582-1566",
"fax_number": "212-586-1272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARKER",
"first_name": "JUSTIN",
"middle_name": "DANIEL",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-23",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "31921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.