Individual provider Active NPI

Cynthia Ovalle Plotkin, PSY.D.

  • Clinical Psychologist
  • Westlake Village, CA
National Provider Identifier
1609050947
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16332 Issued in CA
Practice address
5743 Corsa Ave Ste 125
Westlake Village, CA 91362-6462
Phone
(805) 493-5155
NPI assigned
Dec 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 PSY16332 CA Primary

Addresses

Primary practice location

5743 Corsa Ave Ste 125
Westlake Village, CA 91362-6462

Mailing address

5743 Corsa Ave Ste 125
Westlake Village, CA 91362-6462
Phone (805) 493-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 18, 2026 through Feb 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY16332CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1609050947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 125",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626462",
            "telephone_number": "805-493-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 125",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626462",
            "telephone_number": "805-493-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTKIN",
        "first_name": "CYNTHIA",
        "middle_name": "OVALLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.