Individual provider Active NPI

Colleen Ventus Santos, PSY.D.

  • Counseling Psychologist
  • Huntington Beach, CA
National Provider Identifier
1487785176
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY19689 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY19689CAMDCounseling 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.

Verify at the official NPI Registry.