| Thriveworks Clinical - California Pc | |
|
2804 Camino Dos Rios Ste 206 Thousand Oaks CA 91320-1175 | |
| (855) 284-7483 | |
| Not Available |
| Full Name | Thriveworks Clinical - California Pc |
|---|---|
| Speciality | Counselor |
| Location | 2804 Camino Dos Rios Ste 206, Thousand Oaks, California |
| Authorized Official Name and Position | Mackenzie Jennings (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6174544916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriveworks Clinical - California Pc Po Box 748465 Atlanta GA 30374-8465 Ph: (855) 284-7483 | Thriveworks Clinical - California Pc 2804 Camino Dos Rios Ste 206 Thousand Oaks CA 91320-1175 Ph: (855) 284-7483 |
| NPI Number | 1801481395 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 1759785645 |
|---|---|
| Medicare Enrollment ID | O20220421000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801481395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Juan C Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295833242 PECOS PAC ID: 2567418783 Enrollment ID: I20050330000636 |
| Provider Name | Gurminder Kaur Sahasi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942500491 PECOS PAC ID: 4385833052 Enrollment ID: I20110111000639 |
| Provider Name | Valerie Levier Stern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366617946 PECOS PAC ID: 3375718257 Enrollment ID: I20111205000063 |
| Provider Name | Marissa Garcia Elpidama |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750665915 PECOS PAC ID: 3678730249 Enrollment ID: I20120209000226 |
| Provider Name | Shaheen Emmanuel Lakhan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649585944 PECOS PAC ID: 4082937255 Enrollment ID: I20151105000541 |
| Provider Name | Sarah M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528532603 PECOS PAC ID: 8426396656 Enrollment ID: I20190214000645 |
| Provider Name | Carla M Francisco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609282623 PECOS PAC ID: 7012340425 Enrollment ID: I20191125002370 |
| Provider Name | Fernando M Avila |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962783464 PECOS PAC ID: 8628345386 Enrollment ID: I20200317001821 |
| Provider Name | Aneel Ursani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982085676 PECOS PAC ID: 3577863232 Enrollment ID: I20200427002472 |
| Provider Name | Madeline Esther Brener |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285864918 PECOS PAC ID: 9032540984 Enrollment ID: I20200511001090 |
| Provider Name | Scott Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821038159 PECOS PAC ID: 5799715413 Enrollment ID: I20210202002873 |
| Provider Name | Souphaphone Hagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205466570 PECOS PAC ID: 7416336870 Enrollment ID: I20220615002606 |
| Provider Name | Keleigh Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609298926 PECOS PAC ID: 6204215890 Enrollment ID: I20220628003180 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679713739 PECOS PAC ID: 0749660140 Enrollment ID: I20220701000455 |
| Provider Name | Kathryn Suzanne Potts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558701961 PECOS PAC ID: 3971986175 Enrollment ID: I20220822001381 |
| Provider Name | Jamie F Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992220297 PECOS PAC ID: 2264844265 Enrollment ID: I20220824002903 |
| Provider Name | Rebecca Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811555840 PECOS PAC ID: 3971987868 Enrollment ID: I20220825003575 |
| Provider Name | Chioma F Okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962041939 PECOS PAC ID: 7113399346 Enrollment ID: I20230215002722 |
| Provider Name | Mary Cherub Tagle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790011492 PECOS PAC ID: 4082088554 Enrollment ID: I20230323002216 |
| Provider Name | Jill Jeanette Gravois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053540575 PECOS PAC ID: 1557736741 Enrollment ID: I20230330002376 |
| Provider Name | Eleuterio V Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255037727 PECOS PAC ID: 2769847417 Enrollment ID: I20230502001290 |
| Provider Name | Mayowa Adesina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669170528 PECOS PAC ID: 3072979947 Enrollment ID: I20230518001963 |
| Provider Name | Sara Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063596583 PECOS PAC ID: 8729352364 Enrollment ID: I20230606000807 |
| Provider Name | Katrice Christine Maliszewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073002911 PECOS PAC ID: 4587023841 Enrollment ID: I20230705000573 |
| Provider Name | Andrew Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265786339 PECOS PAC ID: 4486968302 Enrollment ID: I20230705001426 |
| Provider Name | Ryan Wade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588027403 PECOS PAC ID: 5496173338 Enrollment ID: I20230706001833 |
| Provider Name | Janae Lorraine Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306599618 PECOS PAC ID: 2163883943 Enrollment ID: I20230726000798 |
| Provider Name | Barbara Ann Center |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497909147 PECOS PAC ID: 5890781017 Enrollment ID: I20230810003544 |
| Provider Name | Kimberlee Beth Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184790644 PECOS PAC ID: 4587027206 Enrollment ID: I20230829002008 |
| Provider Name | Marcela Luna Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225795420 PECOS PAC ID: 3971950957 Enrollment ID: I20231113003026 |
| Provider Name | Sharlese L Jones |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700085966 PECOS PAC ID: 7416309596 Enrollment ID: I20240115001447 |
| Provider Name | Sarah Cybulski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902276322 PECOS PAC ID: 0648622720 Enrollment ID: I20240115001565 |
| Provider Name | Blanca Monique Sevilla |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215451513 PECOS PAC ID: 6800248881 Enrollment ID: I20240115001664 |
| Provider Name | Miriam Lamb |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366832297 PECOS PAC ID: 0941652929 Enrollment ID: I20240115001745 |
| Provider Name | Thuy Ulrich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831427285 PECOS PAC ID: 3678925641 Enrollment ID: I20240116002556 |
| Provider Name | Michael B Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346952603 PECOS PAC ID: 3779929351 Enrollment ID: I20240306002673 |
| Provider Name | Trisha Paniagua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720779127 PECOS PAC ID: 9638515927 Enrollment ID: I20240308001789 |
| Provider Name | Ann Alsaadi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841513488 PECOS PAC ID: 0345686499 Enrollment ID: I20240311003725 |
| Provider Name | Janeen Vieira-taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487913596 PECOS PAC ID: 8022457381 Enrollment ID: I20240418004010 |
| Provider Name | Elizabeth Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972091627 PECOS PAC ID: 1759733207 Enrollment ID: I20240509001019 |
| Provider Name | Crystal Saidi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932590593 PECOS PAC ID: 7113369265 Enrollment ID: I20240521003988 |
| Provider Name | Elizabeth Marie Walker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497200950 PECOS PAC ID: 2163863325 Enrollment ID: I20240528001417 |
| Provider Name | Alexandera Espinosa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699291435 PECOS PAC ID: 0345692323 Enrollment ID: I20240726003137 |
| Provider Name | Sylvia Turk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427014588 PECOS PAC ID: 1850839507 Enrollment ID: I20240813003693 |
| Provider Name | Mia Velarde |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528499266 PECOS PAC ID: 9638605793 Enrollment ID: I20241212001117 |
| Provider Name | Alan K Okamoto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225167372 PECOS PAC ID: 2365978442 Enrollment ID: I20241212002186 |
| Provider Name | Amanda Mileham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497138762 PECOS PAC ID: 1052847092 Enrollment ID: I20241213000732 |
| Provider Name | Sarah Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316433568 PECOS PAC ID: 1759810047 Enrollment ID: I20250131001224 |
| Provider Name | Catherine Johnson Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164234142 PECOS PAC ID: 9931620333 Enrollment ID: I20250228003172 |
Don M Goodman Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 123 Hodencamp Rd Ste 103, Thousand Oaks, CA 91360 Phone: 818-917-4524 Fax: 800-878-7720 | |
Mountain Light, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1396 Roselawn Ave, Thousand Oaks, CA 91362 Phone: 805-443-5859 | |
Mark Jude Tramo Md Apc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 555 Marin St Ste 200, Thousand Oaks, CA 91360 Phone: 805-495-6702 Fax: 805-495-6195 | |
Lorne S Label M D A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Lynn Rd, Suite 230, Thousand Oaks, CA 91360 Phone: 805-497-4500 Fax: 805-495-1717 | |
Sara Rector Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Marin St, 202, Thousand Oaks, CA 91360 Phone: 805-494-1414 | |
Kaditam V Reddy, M.d., Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 227 W Janss Rd Ste 350, Thousand Oaks, CA 91360 Phone: 805-918-5008 Fax: 888-587-3339 | |
Sarah De Los Santos, Psyd, A Professional Psychological Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Hodencamp Rd Ste 204, Thousand Oaks, CA 91360 Phone: 818-324-0423 Fax: 805-855-4949 |