Joanna Catherine Stan, PSY.D., M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY30834 Issued in CA

Practice address

18646 Oxnard St
Tarzana, CA 91356-1411

Phone

(818) 996-1051

NPI assigned

Oct 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Alo Ha Psychological Associates Inc.

  dba Aloha Psych Associates

  • Psychologist
  • San Diego, CA
  • NPI 1770918674
  Medicare reassignment NPD
• Best Me Psychotherapy, Inc.

  • Clinical Psychologist
  • Culver City, CA
  • NPI 1720403512
  Medicare reassignment NPD
• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment NPD
• Robert Zalewski-Zaragoza, MD, Inc

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1366857476
  NPD (past)

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1952685828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22543 VENTURA BLVD STE 220 PMB1015",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "747-263-8551",
            "fax_number": "818-345-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561411",
            "telephone_number": "818-996-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22543 Ventura Blvd Ste 220 PMB1015",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "91364",
            "country_code": "US",
            "telephone_number": "747-263-8551",
            "fax_number": "818-345-6402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAN",
        "first_name": "JOANNA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952685828",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SS Pharmaceuticals Inc (RX Family Pharmacy)
• SSC Tarzana Operating Company LP (Tarzana Health and Rehabilitation Center)
• Cameron James St. Hilaire, M.D.
• Natalia Stadnik
• Stairway Resource Center Inc.
• Star City Recovery Inc
• Keith Ian Star
• Parker Stateman, AMFT
• Ellen Adine Steinberg, RN, LCCE, IBCLC
• Max Steinberg

• Psychologist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.