Individual provider Active NPI

Efthymia M Pyladaki

  • Marriage & Family Therapist
  • Moorpark, CA
National Provider Identifier
1912260589
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50310 Issued in CA
Practice address
4279 Tierra Rejada Rd
Moorpark, CA 93021-3775
Phone
(805) 222-2323
Fax
(805) 222-2333
NPI assigned
Jun 19, 2012
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 50310 CA Primary
Behavior Analyst 103K00000X 1095670 CA

Addresses

Primary practice location

4279 Tierra Rejada Rd
Moorpark, CA 93021-3775

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930003074 CA Practitioner - Marriage and Family Therapist 2264963347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1095670CAMDBehavioral Analyst
50310CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc CurrentSince Oct 1, 2024 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Oct 1, 2024 Accepting new patients
Clinicas del Camino Real Inc Current Accepting new patients

Locations

4279 Tierra Rejada Rd
Moorpark, CA 93021
Phone (805) 222-2323

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

Interoperability endpoints

  • Direct secure messaging: efthymia.pyladaki.p1@direct.clinicas.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1912260589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125092",
            "telephone_number": "805-673-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4279 TIERRA REJADA RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213775",
            "telephone_number": "805-222-2323",
            "fax_number": "805-222-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLADAKI",
        "first_name": "EFTHYMIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50310",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1095670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

Verify at the official NPI Registry.