NPIMap

Organization Active NPI

Pacific Coast Psychology Group, Inc.

  • Psychologist
  • Westlake Village, CA
National Provider Identifier
1932647468
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PACIFIC COAST PSYCHOLOGY GROUP, INC.
Practice address
31194 La Baya Dr Ste 100
Westlake Village, CA 91362-6420
Phone
(805) 242-2429
Fax
(310) 870-7197
NPI assigned
Feb 3, 2017
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Dr. Joshua Jonathan Williams, PSY.D.NPI 1285863613
Title
Ceo
Phone
(805) 242-2429

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
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

31194 La Baya Dr Ste 100
Westlake Village, CA 91362-6420

Mailing address

31194 La Baya Dr Ste 100
Westlake Village, CA 91362-6420
Phone (805) 242-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170803000623 CA Part B Supplier - Clinic/Group Practice 9335410729 Receives reassigned benefits from 26 practitioners
Practice locations: Bakersfield, CA; Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

31194 La Baya Dr
Ste 100
Westlake Village, CA 91362
Phone (805) 242-2429

1014 S Westlake Blvd
Ste 14243
Westlake Vlg, CA 91361

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1932647468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626420",
            "telephone_number": "805-242-2429",
            "fax_number": "310-870-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626420",
            "telephone_number": "805-242-2429",
            "fax_number": "310-870-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST PSYCHOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-242-2429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.