Active NPI
Stephen Donald Trudeau, PSY.D
- Clinical Psychologist
- Westlake Village, CA
National Provider Identifier
1508980921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19669
- Practice address
- 30941 Agoura Rd
Suite 228
Westlake Village, CA 91361-4617 - Phone
- (805) 794-7270
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- 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 | PSY19669 | CA | Primary |
Addresses
Primary practice location
30941 Agoura Rd
Suite 228
Westlake Village, CA 91361-4617
Mailing address
30941 Agoura Rd
Suite 228
Westlake Village, CA 91361-4617
Phone (805) 794-7270
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 |
|---|---|---|---|
| PSY19669 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1508980921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30941 AGOURA RD",
"address_2": "SUITE 228",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913614617",
"telephone_number": "805-794-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30941 AGOURA RD",
"address_2": "SUITE 228",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913614617",
"telephone_number": "805-794-7270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDEAU",
"first_name": "STEPHEN",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY19669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.