Individual provider Active NPI

Scott Fleishman, PH.D.

  • Clinical Psychologist
  • Thousand Oaks, CA
National Provider Identifier
1942411343
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18011 Issued in CA
Practice address
430 E Avenida de Los Arboles
Suite# 101
Thousand Oaks, CA 91360-3003
Phone
(805) 492-5477
Fax
(805) 492-3057
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY18011 CA Primary

Addresses

Primary practice location

430 E Avenida de Los Arboles
Suite# 101
Thousand Oaks, CA 91360-3003

Mailing address

14724 Ventura Blvd
Suite# 1100
Sherman Oaks, CA 91403-3501
Phone (310) 804-4432

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
I20100817001583 CA Practitioner - Clinical Psychologist 9537293170 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY18011CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Memory Check Psychological Services, a Professional Corporation Clinical CurrentSince Mar 1, 2016 Accepting new patients

Locations

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

4929 Wilshire Blvd
Ste 510
Los Angeles, CA 90010
Phone (562) 904-3999

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942411343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14724 VENTURA BLVD",
            "address_2": "SUITE# 1100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033501",
            "telephone_number": "310-804-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE# 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603003",
            "telephone_number": "805-492-5477",
            "fax_number": "805-492-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHMAN",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.