| Family Psychological Services Inc | |
|
30495 Canwood St Ste 101 Agoura Hills CA 91301-4331 | |
| (818) 707-7366 | |
| (818) 306-5836 |
| Full Name | Family Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 30495 Canwood St Ste 101, Agoura Hills, California |
| Authorized Official Name and Position | Kim B Barrus, Ph.d. (PRESIDENT) |
| Authorized Official Contact | 8187077366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychological Services Inc 30495 Canwood St Ste 101 Agoura Hills CA 91301-4331 Ph: (818) 707-7366 | Family Psychological Services Inc 30495 Canwood St Ste 101 Agoura Hills CA 91301-4331 Ph: (818) 707-7366 |
| NPI Number | 1881746733 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 6507019379 |
|---|---|
| Medicare Enrollment ID | O20130102000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881746733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kim B Barrus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871606327 PECOS PAC ID: 7315903028 Enrollment ID: I20041204000172 |
| Provider Name | Traci V Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790071587 PECOS PAC ID: 9830367416 Enrollment ID: I20110726000672 |
| Provider Name | Marsha L Houston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588775787 PECOS PAC ID: 8729246327 Enrollment ID: I20120229000361 |
| Provider Name | Jennifer Anne Kadin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700076809 PECOS PAC ID: 8921395682 Enrollment ID: I20160922002683 |
| Provider Name | Erin E Holley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346667193 PECOS PAC ID: 1759651326 Enrollment ID: I20170714002109 |
| Provider Name | Cheryl Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548643166 PECOS PAC ID: 4981913191 Enrollment ID: I20170911003169 |
| Provider Name | Joan K Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164555488 PECOS PAC ID: 6608865050 Enrollment ID: I20190513000129 |
| Provider Name | Beatrix S Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639358385 PECOS PAC ID: 1850618208 Enrollment ID: I20190531002127 |
| Provider Name | Edmon Psy D Artinyan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578030953 PECOS PAC ID: 5597191502 Enrollment ID: I20200211003020 |
| Provider Name | Audrey Boggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932235256 PECOS PAC ID: 6800225103 Enrollment ID: I20200408001917 |
| Provider Name | Bethany Tucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639387954 PECOS PAC ID: 0042641250 Enrollment ID: I20200502000044 |
| Provider Name | Dzovak Kazandjian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609329291 PECOS PAC ID: 0345671483 Enrollment ID: I20200505003359 |
| Provider Name | Annemarie Winic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487782959 PECOS PAC ID: 2860811197 Enrollment ID: I20201006000709 |
| Provider Name | Shoni Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467000760 PECOS PAC ID: 2365857273 Enrollment ID: I20210225002968 |
| Provider Name | Stephany Manurung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669065660 PECOS PAC ID: 7012326200 Enrollment ID: I20210428002767 |
| Provider Name | Andrew J Wong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578997466 PECOS PAC ID: 4082018460 Enrollment ID: I20210806001311 |
| Provider Name | Antuela Guynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184372278 PECOS PAC ID: 4082000476 Enrollment ID: I20220412002061 |
| Provider Name | Christine Natelli Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780310912 PECOS PAC ID: 2769867555 Enrollment ID: I20220914003185 |
| Provider Name | Diana H Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528648284 PECOS PAC ID: 9537536362 Enrollment ID: I20221107002756 |
| Provider Name | Shelley M Showalter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073233664 PECOS PAC ID: 4385000850 Enrollment ID: I20230525002730 |
| Provider Name | Lisa Meneshian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902011083 PECOS PAC ID: 7911364971 Enrollment ID: I20230606002685 |
| Provider Name | Anthony Odozi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063600732 PECOS PAC ID: 9032563945 Enrollment ID: I20230926004251 |
| Provider Name | Sathi Datta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932726114 PECOS PAC ID: 9133563802 Enrollment ID: I20240221002119 |
| Provider Name | Afsoun Zarrabian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073225215 PECOS PAC ID: 6002251782 Enrollment ID: I20240304003745 |
| Provider Name | Janine Ferrante |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366060840 PECOS PAC ID: 7113363631 Enrollment ID: I20240306004233 |
| Provider Name | Lauren Vataniman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386400034 PECOS PAC ID: 8628416997 Enrollment ID: I20240404004123 |
| Provider Name | Tiffany Whittington |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700365236 PECOS PAC ID: 0840710455 Enrollment ID: I20250226002863 |
| Provider Name | Priscilla Varga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902629132 PECOS PAC ID: 6800312984 Enrollment ID: I20250501001947 |
| Provider Name | Morgan Chadderton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861261554 PECOS PAC ID: 8921525965 Enrollment ID: I20250503000083 |
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