Individual provider Active NPI

Crystal Ferrendelli, PSYD

  • Clinical Psychologist
  • Agoura Hills, CA
National Provider Identifier
1679928196
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32837 Issued in CA
Practice address
5739 Kanan Rd # 500
Agoura Hills, CA 91301-1601
Phone
(818) 661-8317
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
32837CAMDClinical Psychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32837 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

5739 Kanan Rd # 500
Agoura Hills, CA 91301-1601

Mailing address

5739 Kanan Rd # 500
Agoura Hills, CA 91301-1601
Phone (818) 661-8317

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2024.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1679928196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5739 KANAN RD # 500",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011601",
            "telephone_number": "818-661-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5739 KANAN RD # 500",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011601",
            "telephone_number": "818-661-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRENDELLI",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.