Individual provider Active NPI

Elizabeth Ashton Geringer, PSYD

  • Clinical Psychologist
  • Westlake Village, CA
National Provider Identifier
1558626374
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29391 Issued in CA
Practice address
2660 Townsgate Rd Ste 610
Westlake Village, CA 91361-5709
Phone
(805) 799-0069
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 PSY29391 CA Primary

Addresses

Primary practice location

2660 Townsgate Rd Ste 610
Westlake Village, CA 91361-5709

Mailing address

4819 Corte Olivas
Camarillo, CA 93012-4041
Phone (805) 390-8966

Other practice location 1

801 Avenida Acaso
Camarillo, CA 93012-8726
Phone (805) 799-0069

Other practice location 2

30721 Russell Ranch Rd Ste 140
Westlake Village, CA 91362-7383
Phone (805) 799-0069

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
PSY29391CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Testing Center LLC Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1558626374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 CORTE OLIVAS",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930124041",
            "telephone_number": "805-390-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TOWNSGATE RD STE 610",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615709",
            "telephone_number": "805-799-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Avenida Acaso",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930128726",
            "country_code": "US",
            "telephone_number": "805-799-0069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30721 Russell Ranch Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913627383",
            "country_code": "US",
            "telephone_number": "805-799-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERINGER",
        "first_name": "ELIZABETH",
        "middle_name": "ASHTON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29391",
            "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 Jan 12, 2021; 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.