Kim B Barrus, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY6155 Issued in CA

Practice address

30495 Canwood St Ste 101
Agoura Hills, CA 91301-4331

Phone

(818) 707-7366

Fax

(818) 707-2672

NPI assigned

Aug 17, 2006

Last updated

Apr 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Psychological Services IncGroup PAC ID 6507019379, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Family Psychological Services Inc

  • Psychologist
  • Agoura Hills, CA
  • NPI 1881746733
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1871606327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30495 CANWOOD ST STE 101",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014331",
            "telephone_number": "818-707-7366",
            "fax_number": "818-707-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30495 CANWOOD ST STE 101",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014331",
            "telephone_number": "818-707-7366",
            "fax_number": "818-707-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRUS",
        "first_name": "KIM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY6155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Atkerson
• Patti Kentor Aung, R.N., R.D.
• Oscar Enrique Avelar Ramirez
• Mishal Rashid Baig, PHARMACIST
• Bajwa Enterprises (Purify Health)
• Barry J Wallman MD (West Hills Family Practice Medical Group)
• Richelle Bart, BCBA
• Barton Physical Therapy, Inc.
• Nicolas Barton, MPT
• Basso Pharmacy, Inc.

• Psychologist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.