Valeria Muradov Krocak, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25765 Issued in CA

Practice address

123 Hodencamp Rd Ste 100
Thousand Oaks, CA 91360-5833

Phone

(773) 405-3597

NPI assigned

Jun 18, 2013

Last updated

Jun 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Psychotherapy Center Inc

  • Clinical Psychologist
  • Torrance, CA
  • NPI 1811651797
  Medicare reassignment NPD Authorized official
• My Concierge Psychotherapy Inc

  • Community/Behavioral Health Agency
  • Torrance, CA
  • NPI 1740978394
  NPD

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1649619180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HODENCAMP RD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605833",
            "telephone_number": "773-405-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HODENCAMP RD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605833",
            "telephone_number": "773-405-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCAK",
        "first_name": "VALERIA",
        "middle_name": "MURADOV",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Agua Kozel, PHARMACIST
• Jessica 'Autumn' L Kramer, DPT
• Lauri Kreiger
• Kristin J. Santangelo, MD, a Professional Corporation
• Krithika Ramadas MD, a Professional Corp
• Kryger Insitute of Plastic Surgery, a Medical Corporation
• Nahum Isaac Kryzman, M.D.
• Christopher Kuber Jr.
• Jeffrey T Kubo, O.D.
• John Algis Kudirka, M.D.

• Clinical Psychologist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.