Active NPI
Engage Psychological Services Inc
- Mental Health Counselor
- Westlake Village, CA
National Provider Identifier
1942507694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC41847
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryNPI 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.