Sunlight Psychological Services

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

SUNLIGHT PSYCHOLOGICAL SERVICES

Practice address

28328 Agoura Rd Ste 102
Agoura Hills, CA 91301-2739

Phone

(818) 918-0574

Fax

(818) 483-2643

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Bethany Vaudrey, PSYDNPI 1902152507

Title

Owner & Ceo

Phone

(818) 918-0574

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bethany Vaudrey, PSYD

  • Clinical Psychologist
  • Agoura Hills, CA
  • NPI 1902152507
  NPD Authorized official
• Sophia Renee Berger, MA

  • Clinical Psychologist
  • Agoura Hills, CA
  • NPI 1992376461
  NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1811564792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28328 AGOURA RD STE 102",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012739",
            "telephone_number": "818-918-0574",
            "fax_number": "818-483-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28328 AGOURA RD STE 102",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012739",
            "telephone_number": "818-918-0574",
            "fax_number": "818-483-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIGHT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "VAUDREY",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "818-918-0574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Donovan Stewart, DMD
• Vera Stewart, DDS
• Landen Stock
• Christopher Stone, DPT
• Yakov Suleymanov, PHARM.D
• Suzanne Berger, DDS, Inc
• Hessam M Taghizadeh-Toossi, DDS
• Taheri Dental Practice, PC
• Bahareh Talei, PSY.D.
• Sue Ellen Talley, LMFT

• All providers in Agoura Hills, CA
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.