Individual provider Active NPI

Karen L Macdonald, PH.D

  • Clinical Psychologist
  • Ventura, CA
National Provider Identifier
1528292737
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13571 Issued in CA
Practice address
701 E Santa Clara St Ste 113
Ventura, CA 93001-5972
Phone
(818) 491-3663
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY13571 CA Primary

Addresses

Primary practice location

701 E Santa Clara St Ste 113
Ventura, CA 93001-5972

Mailing address

17521 Lahey St
Granada Hills, CA 91344-4025
Phone (818) 491-3663

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY13571CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Family Therapy Inc CurrentSince Dec 1, 2020 Accepting new patients
Beachside Adult and Family Therapy Inc PastSince Jul 17, 2022 Accepting new patients

Locations

1211 Maricopa Hwy
Ste 265
Ojai, CA 93023
Phone (805) 707-4625

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1528292737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 LAHEY ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444025",
            "telephone_number": "818-491-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E SANTA CLARA ST STE 113",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930015972",
            "telephone_number": "818-491-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.