Individual provider Active NPI

Sarah Alethea De Los Santos, PSY.D.

  • Mental Health Counselor
  • Thousand Oaks, CA
National Provider Identifier
1962650242
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
501 Marin St Ste 202
Thousand Oaks, CA 91360-4266
Phone
(818) 324-0423
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

501 Marin St Ste 202
Thousand Oaks, CA 91360-4266

Mailing address

501 Marin St Ste 202
Thousand Oaks, CA 91360-4266
Phone (818) 324-0423

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160805002289 CA Practitioner - Clinical Psychologist 4789978206 Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah de Los Santos, PSYD, a Professional Psychological Corporation CurrentSince Apr 17, 2022 Accepting new patients
Circle of Life Counseling Center Past Accepting new patients
Sara Rector Past Accepting new patients

Locations

145 Hodencamp Rd
Ste 204
Thousand Oaks, CA 91360
Phone (818) 324-0423

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1962650242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARIN ST STE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604266",
            "telephone_number": "818-324-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARIN ST STE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604266",
            "telephone_number": "818-324-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "SARAH",
        "middle_name": "ALETHEA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.