Individual provider Active NPI

Amanda Troop

  • Behavior Analyst
  • Thousand Oaks, CA
National Provider Identifier
1619241239
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-20941 Issued in CA
Practice address
299 W Hillcrest Dr Ste 110
Thousand Oaks, CA 91360-7824
Phone
(805) 379-1401
Fax
(805) 583-8064
NPI assigned
Feb 29, 2012
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-20941 CA Primary

Addresses

Primary practice location

299 W Hillcrest Dr Ste 110
Thousand Oaks, CA 91360-7824

Mailing address

299 W Hillcrest Dr Ste 110
Thousand Oaks, CA 91360-7824
Phone (805) 379-1401

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

Practice roles

OrganizationSpecialtyStatusNew patients
Era Psychological Services, Inc Past Accepting new patients
Star of California Behavior Analyst Past Accepting new patients

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, 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": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1619241239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W HILLCREST DR STE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607824",
            "telephone_number": "805-379-1401",
            "fax_number": "805-583-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W HILLCREST DR STE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607824",
            "telephone_number": "805-379-1401",
            "fax_number": "805-583-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROOP",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-20941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.