Active NPI
Diane C. Auburn, PHD
- Clinical Psychologist
- Ventura, CA
National Provider Identifier
1447276647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY11670
- Practice address
- 2580 E Main St
Suite 100
Ventura, CA 93003-2646 - Phone
- (805) 647-4591
- Fax
- (805) 647-4591
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11670 | CA | Primary |
Addresses
Primary practice location
2580 E Main St
Suite 100
Ventura, CA 93003-2646
Mailing address
2580 E Main St
Suite 100
Ventura, CA 93003-2646
Phone (805) 647-4591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0323924 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11670 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447276647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 E MAIN ST",
"address_2": "SUITE 100",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032646",
"telephone_number": "805-647-4591",
"fax_number": "805-647-4591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 E MAIN ST",
"address_2": "SUITE 100",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032646",
"telephone_number": "805-647-4591",
"fax_number": "805-647-4591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUBURN",
"first_name": "DIANE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY11670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0323924",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.