| Pacific Coast Psychology Group, Inc. | |
|
31194 La Baya Dr Ste 100 Westlake Village CA 91362-6420 | |
| (805) 242-2429 | |
| (310) 870-7197 |
| Full Name | Pacific Coast Psychology Group, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 31194 La Baya Dr Ste 100, Westlake Village, California |
| Authorized Official Name and Position | Joshua Jonathan Williams (CEO) |
| Authorized Official Contact | 8052422429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Psychology Group, Inc. 31194 La Baya Dr Ste 100 Westlake Village CA 91362-6420 Ph: (805) 242-2429 | Pacific Coast Psychology Group, Inc. 31194 La Baya Dr Ste 100 Westlake Village CA 91362-6420 Ph: (805) 242-2429 |
| NPI Number | 1932647468 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 03/14/2025 |
| Certification Date | 03/14/2025 |
| Medicare PECOS PAC ID | 9335410729 |
|---|---|
| Medicare Enrollment ID | O20170803000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932647468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jodi D Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427013259 PECOS PAC ID: 1557340635 Enrollment ID: I20040714000764 |
| Provider Name | Robert L Dutile |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881892511 PECOS PAC ID: 4688715980 Enrollment ID: I20100108000494 |
| Provider Name | Joshua J Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285863613 PECOS PAC ID: 8820248271 Enrollment ID: I20121022000421 |
| Provider Name | Roberto J Vado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740601228 PECOS PAC ID: 9739481490 Enrollment ID: I20160112002226 |
| Provider Name | Moses S Shirinian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477902864 PECOS PAC ID: 9436288578 Enrollment ID: I20160621001499 |
| Provider Name | Andrea Rae Ormonde Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013146802 PECOS PAC ID: 5092093237 Enrollment ID: I20161024000819 |
| Provider Name | Michele E Archambeault |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851645824 PECOS PAC ID: 2062826274 Enrollment ID: I20210202001861 |
| Provider Name | Andrew Hartwig Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376036772 PECOS PAC ID: 0446642235 Enrollment ID: I20220128001989 |
| Provider Name | Shauna L Papenbrook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780165860 PECOS PAC ID: 8224380589 Enrollment ID: I20220706002533 |
| Provider Name | Patricia Sikkeland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669780292 PECOS PAC ID: 7012386063 Enrollment ID: I20221213003142 |
| Provider Name | Mariela Vega |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932274875 PECOS PAC ID: 6608241864 Enrollment ID: I20230331002446 |
| Provider Name | Tiffany Rose Bornn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760064463 PECOS PAC ID: 3476918913 Enrollment ID: I20230504003278 |
| Provider Name | Rhiannon Jensen Rabine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669093589 PECOS PAC ID: 2264886431 Enrollment ID: I20230922000925 |
| Provider Name | Jose-antonio Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780353565 PECOS PAC ID: 8820441678 Enrollment ID: I20240128000231 |
| Provider Name | Cherish Lynn Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770617888 PECOS PAC ID: 2466805213 Enrollment ID: I20240128000244 |
| Provider Name | Christina L Pouquette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184488850 PECOS PAC ID: 9032559950 Enrollment ID: I20240425002480 |
| Provider Name | Jennifer Irene Adamo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518290154 PECOS PAC ID: 5991145633 Enrollment ID: I20240429003313 |
| Provider Name | Bahar Ehfad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578046595 PECOS PAC ID: 2365981735 Enrollment ID: I20240829000817 |
| Provider Name | Christopher Vinh Cong Le |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659922151 PECOS PAC ID: 2062951437 Enrollment ID: I20240829000925 |
| Provider Name | Katherine Marie Russeau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629802434 PECOS PAC ID: 9032642657 Enrollment ID: I20241104001989 |
| Provider Name | Melissa Maccarini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700496304 PECOS PAC ID: 1951830918 Enrollment ID: I20250121003148 |
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