Active NPI
Colleen Ventus Santos, PSY.D.
- Counseling Psychologist
- Huntington Beach, CA
National Provider Identifier
1487785176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY19689
- Practice address
- 7755 Center Ave Ste 700
Huntington Beach, CA 92647-9126 - Phone
- (714) 889-1604
- Fax
- (855) 703-3268
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY19689 | CA | Primary |
Addresses
Primary practice location
7755 Center Ave Ste 700
Huntington Beach, CA 92647-9126
Mailing address
7755 Center Ave Ste 700
Huntington Beach, CA 92647-9126
Phone (714) 889-1604
Other practice location 1
5665 Plaza Dr
Suite 400
Cypress, CA 90630-5023
Phone (562) 467-5406
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19689 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487785176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7755 CENTER AVE STE 700",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479126",
"telephone_number": "714-889-1604",
"fax_number": "855-703-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7755 CENTER AVE STE 700",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479126",
"telephone_number": "714-889-1604",
"fax_number": "855-703-3268"
}
],
"practiceLocations": [
{
"address_1": "5665 Plaza Dr",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "CA",
"postal_code": "906305023",
"country_code": "US",
"telephone_number": "562-467-5406",
"fax_number": "562-402-4256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS",
"first_name": "COLLEEN",
"middle_name": "VENTUS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY19689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.