Surfside Therapy

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SURFSIDE THERAPY

Practice address

2629 Townsgate Rd Ste 235
Westlake Village, CA 91361-2987

Phone

(844) 334-7873

Fax

(310) 919-0376

NPI assigned

Apr 20, 2020

Last updated

Aug 15, 2024By 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. Linka Griswold, PSY.D., LMFT.NPI 1558496406

Title

Clinical Director

Phone

(747) 242-0849

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Linka Griswold, LMFT, PSY.D.

  • Clinical Psychologist
  • Calabasas, CA
  • NPI 1558496406
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1912527086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 WEST AGOURA RD STE 102",
            "address_2": "UNIT 413",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023571",
            "telephone_number": "310-570-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 TOWNSGATE RD STE 235",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612987",
            "telephone_number": "844-334-7873",
            "fax_number": "310-919-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26500 Agoura Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913023571",
            "country_code": "US",
            "telephone_number": "747-242-0849",
            "fax_number": "310-919-0376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURFSIDE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "GRISWOLD",
        "authorized_official_first_name": "LINKA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "747-242-0849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMFT."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINKA GRISWOLD",
            "identifier": "98245",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST",
            "identifier": "35149",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scheduling@surfsideonlinetherapy.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "2629 Townsgate Rd Ste 235",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913612987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://surfsideonlinetherapy.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2629 Townsgate Rd Ste 235",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913612987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 Aug 15, 2024; 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.