Individual provider Active NPI

Joni Fay Pastor, PH.D.

  • Psychologist
  • Beverly Hills, CA
National Provider Identifier
1356570360
Registry record updated Jul 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 21808 Issued in CA
Practice address
9171 Wilshire Blvd
Penthouse Suite 1
Beverly Hills, CA 90210-5530
Phone
(310) 892-0210
Fax
(503) 390-7976
NPI assigned
Jul 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2009

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY 21808 CA
Psychologist 103T00000X PSY 21808 CA Primary
Adult Development & Aging Psychologist 103TA0700X PSY 21808 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY 21808 CA
Counseling Psychologist 103TC1900X PSY 21808 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY 21808 CA
Exercise & Sports Psychologist 103TE1100X PSY 21808 CA
Family Psychologist 103TF0000X PSY 21808 CA
Forensic Psychologist 103TF0200X PSY 21808 CA
Health Psychologist 103TH0004X PSY 21808 CA
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY 21808 CA
Group Psychotherapy Psychologist 103TP2701X PSY 21808 CA

Addresses

Primary practice location

9171 Wilshire Blvd
Penthouse Suite 1
Beverly Hills, CA 90210-5530

Mailing address

5054 Avenida de la Plata
Oceanside, CA 92057-8000
Phone (760) 945-9767

Other names 1

  • Dr. Joan Faye Pastor Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 21808CAMDPsychologist
PSY 21808CAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247270400000",
    "number": "1356570360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 AVENIDA DE LA PLATA",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920578000",
            "telephone_number": "760-945-9767",
            "fax_number": "503-907-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD",
            "address_2": "PENTHOUSE SUITE 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105530",
            "telephone_number": "310-892-0210",
            "fax_number": "503-390-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTOR",
        "first_name": "JONI",
        "middle_name": "FAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-11",
        "last_updated": "2009-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 21808",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY  21808",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY 21808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "PASTOR",
            "middle_name": "FAYE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2009; 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.