DR. BETHANY VAUDREY (NPI# 1902152507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902152507 |
| Entity Type | Individual |
| Full Name | DR. BETHANY VAUDREY |
| Credential | PSYD |
| Practice Address |
28328 Agoura Rd Ste 102 Agoura Hills CA 91301 |
| Mailing Address |
28328 Agoura Rd Ste 102 Agoura Hills CA 91301-2739 |
| Practice Telephone | 8189180574 |
| Mailing Telephone | 8189180574 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY28607 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8550 Balboa Blvd Ste 150, Northridge, CA 913253579 | 8187395612 |
| Street Address |
28328 AGOURA RD STE 102 |
| City | AGOURA HILLS |
| State | CA |
| Zip Code | 91301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
| 1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
| 1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
| 1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| 1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
| 1033431655 | Laura Lapiana | Psychologist | 5012 Chesebro Rd Ste 100, Agoura Hills, CA 91301 | 2010-02-23 |
| Find all providers in zip 91301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245737154 | Eynav Elgavish Accortt | Psychologist | 28328 Agoura Rd Ste 201, Agoura Hills, CA 91301-2741 | 2018-04-07 |
| 1609329291 | Dzovak Kazandjian | Psychologist | 30495 Canwood St Ste 101, Agoura Hills, CA 91301-4331 | 2016-07-29 |
| 1962819789 | Psychiatric Wellness Center Inc | Psychologist | 30300 Agoura Road, Suite 195, Agoura Hills, CA 91301-5412 | 2014-07-14 |
| 1457698359 | Marvin Wade Altom | Psychologist | 5014 Chesebro Rd Fl 2, Agoura Hills, CA 91301-2278 | 2013-01-11 |
| 1033431655 | Laura Lapiana | Psychologist | 5012 Chesebro Rd Ste 100, Agoura Hills, CA 91301 | 2010-02-23 |
| 1205092046 | Shannon M Dobbs | Psychologist | 28310 Roadside Dr Ste 203, Agoura Hills, CA 91301 | 2008-07-31 |
| 1093900938 | Asamau Denise Ojarigi | Psychologist | 28240 Agoura Rd Ste 101, Agoura Hills, CA 91301-2468 | 2007-09-13 |
| 1083754089 | Alan D. Price | Psychologist | 30423 Canwood St Ste 138, Agoura Hills, CA 91301-4315 | 2007-02-07 |
| 1457384604 | Melinda Judith Garabedian | Psychologist | 28348 Roadside Dr Ste 201, Agoura Hills, CA 91301-2596 | 2006-07-09 |
| 1699396119 | Tal Leead | Psychologist | 5923 Kanan Rd, Agoura Hills, CA 91301-1688 | 2020-05-06 |
| Find all providers in AGOURA HILLS | ||||
| City | AGOURA HILLS |
| Zip Code | 91301 |
Please comment or provide details below to improve the information on DR. BETHANY VAUDREY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.