Petrus Psychology Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17390 Issued in CA

Legal business name

PETRUS PSYCHOLOGY PROFESSIONAL CORPORATION

Practice address

3625 E Thousand Oaks Blvd
Suite 135
Westlake Village, CA 91362-3626

Phone

(805) 496-6180

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gina Petrus, PHD

Title

Secretary

Phone

(805) 496-6180

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Kristina Murphy, M.S.

  • Marriage & Family Therapist
  • Westlake Village, CA
  • NPI 1114371853
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1902016348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 135",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623626",
            "telephone_number": "805-496-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 135",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623626",
            "telephone_number": "805-496-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRUS PSYCHOLOGY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "PETRUS",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "805-496-6180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17390",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Nicole Perlson, MSW, LCSW
• Lisa Jeanne Perrino, L.AC.
• Suzanne E Perry, MS
• William C Perry, M.S., LMFT
• Aaron Peterson, O.D.
• Petrx LLC
• Anh Pham
• Michael Phillips, DPT
• Dennis Pick, D.C.
• Jacqueline Pick, D.C.

• Clinical Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.