NPIMap

Organization Active NPI

Simi Psychological Group, Apc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Simi Valley, CA
National Provider Identifier
1912495243
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
26380 Issued in CA
Legal business name
SIMI PSYCHOLOGICAL GROUP, APC
Practice address
3695 Alamo St Ste 103
Simi Valley, CA 93063-2188
Phone
(805) 841-1994
Fax
(805) 842-1993
NPI assigned
Apr 23, 2018
Last updated
Mar 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Dr. Donna Novak, PSY.D.NPI 1902033871
Title
President/Clinical Psychologist
Phone
(805) 842-1994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 26380 CA Primary

Addresses

Primary practice location

3695 Alamo St Ste 103
Simi Valley, CA 93063-2188

Mailing address

3695 Alamo St Ste 103
Simi Valley, CA 93063-2188
Phone (805) 842-1994

National Provider Directory

National Provider Directory

Locations

2245 1st St
Ste 210B
Simi Valley, CA 93065
Phone (805) 285-3540

3695 Alamo St
Ste 103
Simi Valley, CA 93063
Phone (805) 273-8014

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1912495243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 ALAMO ST STE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632188",
            "telephone_number": "805-842-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 ALAMO ST STE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632188",
            "telephone_number": "805-841-1994",
            "fax_number": "805-842-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI PSYCHOLOGICAL GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "805-842-1994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "26380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.