Active NPI
Virginia Anne Compagna-Doll, PHD
- Clinical Psychologist
- Burbank, CA
National Provider Identifier
1952432221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32186
- Practice address
- 4405 W Riverside Dr
Ste 207
Burbank, CA 91505-4072 - Phone
- (818) 984-7110
- NPI assigned
- Mar 8, 2007
- Last updated
- May 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32186 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MFC44039 | CA |
Addresses
Primary practice location
4405 W Riverside Dr
Ste 207
Burbank, CA 91505-4072
Mailing address
4405 W Riverside Dr
Ste 207
Burbank, CA 91505-4072
Phone (818) 984-7110
Other names 1
- V. Anne Compagna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 12, 2024 through May 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC44039 | CA | MD | Marriage & Family Therapist |
| 32186 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1952432221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 W RIVERSIDE DR",
"address_2": "STE 207",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054072",
"telephone_number": "818-984-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 W RIVERSIDE DR",
"address_2": "STE 207",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054072",
"telephone_number": "818-984-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPAGNA-DOLL",
"first_name": "VIRGINIA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32186",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC44039",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "V. ANNE",
"last_name": "COMPAGNA",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.