Courtney McCaul, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31826 Issued in CA

Practice address

22163 Pacific Coast Hwy
Malibu, CA 90265-5137

Phone

(310) 818-3827

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1508349952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22163 PACIFIC COAST HWY APT B",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655146",
            "telephone_number": "310-818-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22163 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655137",
            "telephone_number": "310-818-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAUL",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drktherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "22163 Pacific Coast Hwy",
            "city": "Malibu",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902655137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suzanne Elizabeth Matteson
• Maugeri and Chinn, a Chiropractic Corporation
• Ronald Charles Maugeri, D.C.
• Hussam Yaser Mawari, MD
• Carol Ann MC Cabe, B.S.
• Lisa McCullough, LMFT
• Patricia McDermott, M.D.
• Kiley Ann McGill
• Andrea McGovern, MS MFT
• Sydney Dodge McIlvain, LCGC

• Clinical Psychologist in Malibu, CA
• Providers in Malibu, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.