Individual provider Active NPI

Deborah Jo Dreyfuss, PHD

  • Clinical Psychologist
  • Calabasas, CA
National Provider Identifier
1619987153
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12017 Issued in CA
Practice address
4766 Park Granada
Suite 107
Calabasas, CA 91302
Phone
(818) 224-3244
Fax
(818) 224-3244
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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 PSY12017 CA Primary

Addresses

Primary practice location

4766 Park Granada
Suite 107
Calabasas, CA 91302

Mailing address

23123 Ventura Blvd
Ste. 203
Woodland Hills, CA 91364-1104
Phone (818) 884-4684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000391 CA Practitioner - Clinical Psychologist 0143482521 Practice locations: Calabasas, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22231 Mulholland Hwy
Suite 200
Calabasas, CA 91302-5173
Phone (818) 224-3244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Total Woman MD PastSince Dec 1, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1619987153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23123 VENTURA BLVD",
            "address_2": "STE. 203",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641104",
            "telephone_number": "818-884-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4766 PARK GRANADA",
            "address_2": "SUITE 107",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91302",
            "telephone_number": "818-224-3244",
            "fax_number": "818-224-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYFUSS",
        "first_name": "DEBORAH",
        "middle_name": "JO",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.