Organization Active NPI

Engage Psychological Services Inc

  • Mental Health Counselor
  • Westlake Village, CA
National Provider Identifier
1942507694
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC41847 Issued in CA
Legal business name
ENGAGE PSYCHOLOGICAL SERVICES INC
Practice address
650 Hampshire Rd
Suite 200
Westlake Village, CA 91361-2510
Phone
(805) 497-0605
Fax
(805) 371-4862
NPI assigned
Feb 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Mr. Trevor Reynolds, M.F.T.
Title
C.E.O
Phone
80549700605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MFC41847 CA Primary

Addresses

Primary practice location

650 Hampshire Rd
Suite 200
Westlake Village, CA 91361-2510

Mailing address

650 Hampshire Rd
Suite 200
Westlake Village, CA 91361-2510
Phone (805) 497-0605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1942507694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HAMPSHIRE RD",
            "address_2": "SUITE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612510",
            "telephone_number": "805-497-0605",
            "fax_number": "805-371-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HAMPSHIRE RD",
            "address_2": "SUITE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612510",
            "telephone_number": "805-497-0605",
            "fax_number": "805-371-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGE PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "80549700605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.F.T."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC41847",
            "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 Feb 15, 2011; 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.