Individual provider Active NPI

Pamela Alexandra McCormick, AMFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1790382083
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT141929 Issued in CA
Practice address
2021 Sperry Ave Ste 41
Ventura, CA 93003-7417
Phone
(805) 669-8846
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT141929 CA Primary

Addresses

Primary practice location

2021 Sperry Ave Ste 41
Ventura, CA 93003-7417

Mailing address

PO Box 70
Ventura, CA 93002-0070
Phone (805) 861-3092

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
I20251108000668 CA Practitioner - Marriage and Family Therapist 5193215911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Behavioral Health IncGroup PAC ID 6204272271, 14 clinicians

Practice addresses (Care Compare)

993 W 7TH St
Oxnard, CA 93030-6757
Phone (805) 626-0325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT141929CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Behavioral Health Inc Marriage & Family Therapist CurrentSince Aug 29, 2025 Accepting new patients

Locations

993 W 7th St
Oxnard, CA 93030
Phone (805) 483-9565

1500 Palma Dr
Fl 2
Ventura, CA 93003
Phone (805) 284-1783

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1790382083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930020070",
            "telephone_number": "805-861-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SPERRY AVE STE 41",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037417",
            "telephone_number": "805-669-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "PAMELA",
        "middle_name": "ALEXANDRA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT141929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.