Phoenix Psychological Group, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY21349 Issued in CA

Legal business name

PHOENIX PSYCHOLOGICAL GROUP, PC

Practice address

1601 Carmen Dr
Suite 211
Camarillo, CA 93010-3105

Phone

(805) 232-4148

NPI assigned

Oct 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Susan Christine Barrett, PSYD

Title

Director

Phone

(805) 637-9997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1588917520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "address_2": "SUITE B-368",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012507",
            "telephone_number": "805-232-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR",
            "address_2": "SUITE 211",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "805-232-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PSYCHOLOGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-637-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Hoa Phan, PHARMD
• Philip B Maurice MD Inc
• Amanda Lanae Hauptmann Phillips
• Brandon Michael Phillips
• Brian Phillips
• Amanda Josephine Picciche, MT-BC
• Miriam Alma-Ruth Pieters, B.A.
• Ashley Pillado
• Melinda Pilones, PT
• Gricelda Pimentel-Lopez

• Psychologist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.