Individual provider Active NPI

Virginia Anne Compagna-Doll, PHD

  • Clinical Psychologist
  • Burbank, CA
National Provider Identifier
1952432221
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32186 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
MFC44039CAMDMarriage & Family Therapist
32186CAMDGeneral 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"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.