CGM Wellness Group

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CGM WELLNESS GROUP

Doing business as

CGM Wellness Group

Practice address

3155 Old Conejo Rd
Thousand Oaks, CA 91320-2151

Phone

(562) 754-2310

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Candice Feinberg, PSY.D.

Title

Ceo

Phone

(562) 754-2310

Specialties & licenses 1

Addresses

Other names 1

• CGM Wellness Group Doing business as

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1669285359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 E THOUSAND OAKS BLVD STE 207",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605748",
            "telephone_number": "562-754-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 OLD CONEJO RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202151",
            "telephone_number": "562-754-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGM WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-754-2310",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CGM Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CGM Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.