Family Psychological Services Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

FAMILY PSYCHOLOGICAL SERVICES INC

Practice address

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

Phone

(818) 707-7366

Fax

(818) 306-5836

NPI assigned

Jan 18, 2007

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kim B Barrus, PH.D., PH.D.

Title

President

Phone

(818) 707-7366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci Victoria Babcock, NP

  • Adult Health Nurse Practitioner
  • West Hollywood, CA
  • NPI 1790071587
  Medicare reassignment Care Compare group NPD
• Kim B Barrus, PH.D.

  • Psychologist
  • Agoura Hills, CA
  • NPI 1871606327
  Medicare reassignment Care Compare group NPD
• Kristina Dino

  • Family Nurse Practitioner
  • Agoura Hills, CA
  • NPI 1336952589
  Medicare reassignment Care Compare group NPD
• Antuela Guynes

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1184372278
  Medicare reassignment Care Compare group NPD
• Marsha L Houston, LCSW

  • Clinical Social Worker
  • Lancaster, CA
  • NPI 1588775787
  Medicare reassignment Care Compare group NPD
• Jennifer Anne Kadin, PSY.D.

  • Psychologist
  • Ventura, CA
  • NPI 1700076809
  Medicare reassignment Care Compare group NPD
• Stephany Lavigne

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
  • NPI 1669065660
  Medicare reassignment Care Compare group NPD
• Lisa Meneshian, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1902011083
  Medicare reassignment Care Compare group NPD
• Christine Natelli Richard, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Agoura Hills, CA
  • NPI 1780310912
  Medicare reassignment Care Compare group NPD
• Shelley Showalter, PHD

  • Clinical Psychologist
  • Agoura Hills, CA
  • NPI 1073233664
  Medicare reassignment Care Compare group NPD
• Alexa Tjen

  • Psychiatric/Mental Health Nurse Practitioner
  • Agoura Hills, CA
  • NPI 1598469140
  Medicare reassignment Care Compare group NPD
• Lauren Vataniman, PH.D.

  • Clinical Psychologist
  • Agoura Hills, CA
  • NPI 1386400034
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1881746733",
    "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": "818-306-5836"
        },
        {
            "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": "818-306-5836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 S Victoria Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930036550",
            "country_code": "US",
            "telephone_number": "818-707-7366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "BARRUS, PH.D.",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-707-7366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karmen N Fernandez Johnston

• 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 Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.