Organization Active NPI

Patrick J. Madden

  • Psychologist
  • Thousand Oaks, CA
National Provider Identifier
1487198578
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1460 Issued in CA
Legal business name
PATRICK J. MADDEN
Practice address
501 Marin St
Suite 108
Thousand Oaks, CA 91360-4260
Phone
(805) 529-2255
NPI assigned
Dec 8, 2016
Last updated
Dec 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Mr. Patrick J. Madden, MA, LEP
Title
Licensed Educational Psychologist
Phone
(805) 529-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1460 CA Primary

Addresses

Primary practice location

501 Marin St
Suite 108
Thousand Oaks, CA 91360-4260

Mailing address

501 Marin St
Suite 108
Thousand Oaks, CA 91360-4260
Phone (805) 529-2255

National Provider Directory

National Provider Directory
Tax ID family
Inspira Health Network13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 Marin St
Ste 108
Thousand Oaks, CA 91360
Phone (805) 405-8818

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1487198578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARIN ST",
            "address_2": "SUITE 108",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604260",
            "telephone_number": "805-529-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARIN ST",
            "address_2": "SUITE 108",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604260",
            "telephone_number": "805-529-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. MADDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "LICENSED EDUCATIONAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "805-529-2255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LEP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "1460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.