Dave Hallbauer

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS9781 Issued in CA

Legal business name

DAVE HALLBAUER

Doing business as

VCBH-SimiValley Children's Mental Health

Practice address

3855 Alamo St Ste F
Suite 2032
Simi Valley, CA 93063-2110

Phone

(805) 582-7507

Fax

(805) 582-7514

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By 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

Jennifer Dougherty, LCSWNPI 1528191020

Title

Clinic Administrator

Phone

(805) 582-7507

Specialties & licenses 1

Addresses

Other names 1

• VCBH-SimiValley Children's Mental Health Doing business as

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.

• Jennifer I. Dougherty, L.C.S.W.

  • Clinical Social Worker
  • Oxnard, CA
  • NPI 1528191020
  NPD (past) Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922120088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 ALAMO ST STE F",
            "address_2": "SUITE 2032",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632110",
            "telephone_number": "805-582-7507",
            "fax_number": "805-582-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 ALAMO ST STE F",
            "address_2": "SUITE 2032",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632110",
            "telephone_number": "805-582-7507",
            "fax_number": "805-582-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE HALLBAUER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "805-582-7507",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS9781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCBH-SimiValley Children's Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John T Danial, PH.D.
• Daniel Ghiyam M D Inc
• Daniel K Davis MD Inc
• Nathalie R Darmawan
• Lucia Loredana Dattoma, MD
• David B. Rosenfeld, M.D., Inc.
• David M. Gudeman, M.D., Inc.
• Jerry A Davidson, M.D.
• Dantae D. Davies, M.D.
• Austin Parker Davis

• Community/Behavioral Health Agency in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.