Family Psychological Services Inc
Organization Active NPI Psychologist · Agoura Hills, CA
NPI 1881746733 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1881746733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Kim B Barrus, PH.D., PH.D.
- Title
- President
- Phone
- (818) 707-7366
Practitioners 41
-
Kim B Barrus, PH.D.
-
Marsha L Houston, LCSW
-
Jennifer Anne Kadin, PSY.D.
-
Lisa Meneshian, PH.D.
-
Christine Natelli Richard, PMHNP-BC
-
Shelley Showalter, PHD
-
Lauren Vataniman, PH.D.
-
Angela B Kivela, LMFT
-
Bethany Jayne Tucker, M.D.
-
Audrey E Boggs, PSY.D.
-
Morgan Greer Chadderton, PMHNP
-
Janine L Ferrante, LMFT
-
Diana Helen Lopez, PMHNP
-
Shoni Taylor, PMHNP
-
Andrew Jo-Wang Wong, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130102000300 | CA | Part B Supplier - Clinic/Group Practice | 6507019379 |
Receives reassigned benefits from 30 practitioners Practice locations: Agoura Hills, CA |
National Provider Directory
Locations
30423 Canwood St
Ste 130
Agoura Hills, CA 91301
Phone (818) 707-7366
30495 Canwood St
Ste 101
Agoura Hills, CA 91301
Phone (818) 707-7366
30423 Canwood St
Ste 138
Agoura Hills, CA 91301
Phone (818) 707-7366
5014 Chesebro Rd
Fl 2
Agoura Hills, CA 91301
Phone (818) 707-7366
30495 Canwood St
Agoura Hills, CA 91301
Phone (818) 532-7150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
30495 Canwood St Ste 101
Agoura Hills, CA 91301-4331
Mailing address
30495 Canwood St Ste 101
Agoura Hills, CA 91301-4331
Phone (818) 707-7366
Other practice location 1
1280 S Victoria Ave Ste 130
Ventura, CA 93003-6550
Phone (818) 707-7366
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All providers in Agoura Hills, CA · Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.