Individual provider Active NPI

Bonnie Mahler, PH.D.

  • Clinical Psychologist
  • Santa Clarita, CA
National Provider Identifier
1427134188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12364 Issued in CA
Practice address
23504 Lyons Ave Ste 401
Santa Clarita, CA 91321-5777
Phone
(661) 260-3131
Fax
(661) 255-2093
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY12364 CA Primary

Addresses

Primary practice location

23504 Lyons Ave Ste 401
Santa Clarita, CA 91321-5777

Mailing address

23504 Lyons Ave Ste 401
Santa Clarita, CA 91321-5777
Phone (661) 260-3131

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
I20171130002812 CA Practitioner - Clinical Psychologist 6901163880 Practice locations: Valencia, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25350 Magic Mountain Pkwy
Suite 170
Valencia, CA 91355-1165
Phone (661) 260-3131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY12364CAMDClinical Psychologist
12364CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Judi Cantor Ma MFT Past Accepting new patients

Organizations & group practices 1

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427134188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23504 LYONS AVE STE 401",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215777",
            "telephone_number": "661-260-3131",
            "fax_number": "661-255-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23504 LYONS AVE STE 401",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215777",
            "telephone_number": "661-260-3131",
            "fax_number": "661-255-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLER",
        "first_name": "BONNIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.