Vanessa Jeanne De Barros I, LAADC, CATC IV

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSB94028709 Issued in CA

Practice address

17921 S Avery PL
Gardena, CA 90248-3710

Phone

(424) 340-9267

Fax

(424) 340-2368

NPI assigned

Jul 21, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Neuro Fitness Medical Corporation

  • Internal Medicine Physician
  • Gardena, CA
  • NPI 1659072106
  NPD
• Transformations Care Inc

  • Substance Abuse Rehabilitation Facility
  • Gardena, CA
  • NPI 1134774086
  NPD

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1982277653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17921 S AVERY PL",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483710",
            "telephone_number": "424-340-9267",
            "fax_number": "424-340-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17921 S AVERY PL",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483710",
            "telephone_number": "424-340-9267",
            "fax_number": "424-340-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BARROS",
        "first_name": "VANESSA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LAADC, CATC IV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR10420324",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94028709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Lynell Davis
• Shammeer J Dawson
• Celine Dayrit
• Nikita Borah De Almeida, BCBA
• Estrella De Anda
• Raquel Yezmin De Casas
• Brisa De Dios
• Gared De Guia
• Kaetlene De Guzman
• Robert De la Costa Jr.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.