Individual provider Active NPI

Emily Katherine Ackerman, M.D.

  • Psychiatry Physician
  • Ventura, CA
National Provider Identifier
1861887945
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A146938 Issued in CA
Practice address
801 Seneca St
Ventura, CA 93001-1411
Phone
(626) 977-0497
Fax
(818) 279-0611
NPI assigned
Apr 5, 2015
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A146938 CA Primary

Addresses

Primary practice location

801 Seneca St
Ventura, CA 93001-1411

Mailing address

PO Box 1770
La Mesa, CA 91944-1770
Phone (626) 963-4467

Other practice location 1

415 W Route 66 Ste 202
Glendora, CA 91740-4335
Phone (626) 963-4467

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802002782 CA Practitioner - Psychiatry 3274963046 Reassigns benefits to 3 organizations
Practice locations: Glendora, CA; Ventura, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Irvine, California College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Medical Solutions Inc a Medical GroupGroup PAC ID 5294783080, 37 clinicians
Clarity-James Medical Services CorpGroup PAC ID 2668886813, 7 clinicians

Practice addresses (Care Compare)

14860 Roscoe Blvd
Suite 307
Panorama City, CA 91402-4691
Phone (818) 616-2122

4040 Civic Ctr Dr
Suite 200
San Rafael, CA 94903-4187
Phone (415) 795-8050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Ackerman MD Inc a Medical Corporation Psychiatry CurrentSince Apr 1, 2025 Accepting new patients
Clarity-James Medical Services Corp Psychiatry CurrentSince Mar 12, 2024 Accepting new patients
Innovative Medical Solutions Inc a Medical Group CurrentSince Feb 1, 2026 Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

14860 Roscoe Blvd
Ste 307
Panorama City, CA 91402
Phone (747) 998-0387

4040 Civic Center Dr
Ste 200
San Rafael, CA 94903
Phone (415) 795-8050

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

801 Seneca St
Ventura, CA 93001
Phone (805) 504-6814

Interoperability endpoints

  • Direct secure messaging: emily.ackerman.1@25478.direct.athenahealth.com
  • Direct secure messaging: emily.ackerman.p5@direct.mydohc.nextgenshare.com
  • Direct secure messaging: emily.ackerman.p8@direct.bfmc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/25478/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1861887945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "626-963-4467",
            "fax_number": "626-963-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SENECA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930011411",
            "telephone_number": "626-977-0497",
            "fax_number": "818-279-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Route 66 Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917404335",
            "country_code": "US",
            "telephone_number": "626-963-4467",
            "fax_number": "626-963-9543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-05",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A146938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.