Lauren Vataniman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34870 Issued in CA

Practice address

30495 Canwood St Ste 101
Agoura Hills, CA 91301-4331

Phone

(818) 707-7366

Fax

(818) 306-5836

NPI assigned

Feb 21, 2024

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Wakeley Former name

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

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Psychological Services IncGroup PAC ID 6507019379, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Psychological Services Inc

  • Psychologist
  • Agoura Hills, CA
  • NPI 1881746733
  Medicare reassignment Care Compare group NPD
• Vataniman Psychological Services, PC

  • Clinical Psychologist
  • Roseville, CA
  • NPI 1457293318
  NPD Authorized official

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1386400034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30495 CANWOOD ST STE 101",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014331",
            "telephone_number": "818-707-7366",
            "fax_number": "818-306-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30495 CANWOOD ST STE 101",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014331",
            "telephone_number": "818-707-7366",
            "fax_number": "818-306-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATANIMAN",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WAKELEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Vanguard Labs LLC
• Vargo Physical Therapy, Inc
• Bethany Vaudrey, PSYD
• Marilyn Vaughn
• Veecare Hospice Care, Inc.
• Miriam Esther Vendelbosch, DC
• Kianna Verduzco, LMFT

• Clinical Psychologist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.