Individual provider Active NPI

Samantha Tamburro, PSY.D.

  • Clinical Psychologist
  • Westlake Village, CA
National Provider Identifier
1437428265
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18939 Issued in CA
Practice address
650 Hampshire Rd
Suite 204
Westlake Village, CA 91361-2510
Phone
(805) 497-0605
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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 PSY18939 CA Primary

Addresses

Primary practice location

650 Hampshire Rd
Suite 204
Westlake Village, CA 91361-2510

Mailing address

650 Hampshire Rd
Suite 204
Westlake Village, CA 91361-2510
Phone (805) 497-0605

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

State licenses

LicenseStateTypeSpecialty
PSY18939CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1437428265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HAMPSHIRE RD",
            "address_2": "SUITE 204",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612510",
            "telephone_number": "805-497-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HAMPSHIRE RD",
            "address_2": "SUITE 204",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612510",
            "telephone_number": "805-497-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURRO",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.