Pacific Oaks Psychology Services, a Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PACIFIC OAKS PSYCHOLOGY SERVICES, A PROFESSIONAL CORPORATION

Doing business as

Pacific Oaks Psychology Services

Practice address

1461 Brighton Ave
Grover Beach, CA 93433-1890

Phone

(805) 471-3563

NPI assigned

Jan 21, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Audrey Miller, PSY.D.NPI 1740615384

Title

Owner, Ceo/Clinical Psychologist

Phone

(805) 471-3563

Specialties & licenses 1

Addresses

Other names 1

• Pacific Oaks Psychology Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Jean Miller, PSYD

  • Psychologist
  • Grover Beach, CA
  • NPI 1740615384
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1629937883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934480745",
            "telephone_number": "805-471-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 BRIGHTON AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934331890",
            "telephone_number": "805-471-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OAKS PSYCHOLOGY SERVICES, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER, CEO/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "805-471-3563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Oaks Psychology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abiola Olufunlayo Oladoke, PHD, MSHNFM, CLT
• Alyssa Ontiveros
• Carly Oost
• Constantine Osepyan
• Cheri Ovrebo
• Marie Antoinette Palumbo, LMFT
• Kristina A Paramore, LMFT
• Shelley Paton, M.S. OTR/L
• James Holm Pearce, MFT
• Beliza Perdomo, LMFT

• Clinical Psychologist in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.