Irene S. Fruchtbaum, PH.D., Q.M.E.

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

IRENE S. FRUCHTBAUM, PH.D., Q.M.E.

Practice address

28310 Roadside Dr Ste 202a
Agoura Hills, CA 91301-4958

Phone

(818) 650-1960

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Irene Fruchtbaum, PH.D., Q.M.E.NPI 1386081743

Title

Clinical Psychologist

Phone

(818) 650-1960

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene S Fruchtbaum, PH.D., Q.M.E.

  • Clinical Psychologist
  • Calabasas, CA
  • NPI 1386081743
  NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1447010053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4117",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913084117",
            "telephone_number": "310-699-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 202A",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014958",
            "telephone_number": "818-650-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE S. FRUCHTBAUM, PH.D., Q.M.E.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "FRUCHTBAUM",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-650-1960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., Q.M.E."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Zak DDS Prof Dental Corp
• Steven D Iceland, DDS
• Theresa Gisell Inchaurregui, PSYD
• Steven Mark Infield
• Valerio Iovino
• Cara A Itule, M.A., MFT
• Iwanoff Chiropractic
• James Thomas Iwanoff, D.C.
• Jack M. Gindi, M.D. a Medical Corporation
• Jaime Elizabeth Medvene PHD a Professional Psychological Corpora

• Group Psychotherapy Psychologist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Group Psychotherapy Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.