Active NPI
Joni Fay Pastor, PH.D.
- Psychologist
- Beverly Hills, CA
National Provider Identifier
1356570360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 21808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 21808 | CA | MD | Psychologist |
| PSY 21808 | CA | MD | Clinical 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.