Stan Tatkin, PSYD, MFT

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MFT 29303 Issued in CA

Legal business name

STAN TATKIN, PSYD, MFT

Practice address

5012 Chesebro Rd
Suite 201
Agoura Hills, CA 91301-2272

Phone

(805) 300-3074

Fax

(805) 300-3074

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stan Tatkin, PSYD, MFT

Title

Owner

Phone

(805) 300-3074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1568998342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 CHESEBRO RD",
            "address_2": "SUITE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012272",
            "telephone_number": "805-300-3074",
            "fax_number": "805-300-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 CHESEBRO RD",
            "address_2": "SUITE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012272",
            "telephone_number": "805-300-3074",
            "fax_number": "805-300-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAN TATKIN, PSYD, MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "TATKIN",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-300-3074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "MFT 29303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Francis Spaulding Jr., MD
• Speech Therapy and Beyond Inc
• Sprout West, LLC
• Dhivya Srinivasa, M.D.
• Stacey Datnow, LCSW, Inc.
• Karen Georgina Stanton, OT/L
• Allison Stein
• Jason Michael Steinberg
• Neil H Steinberg, D.P.M.
• Jaclyn Amanda Stemen, LCSW

• Adult Mental Health Clinic/Center in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.