KENNETH RAVEN (NPI# 1003955311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003955311 |
| Entity Type | Individual |
| Full Name | KENNETH RAVEN |
| Credential | PH.D. |
| Practice Address |
25 W. Rolling Oaks Dr. Suite #107 Thousand Oaks CA 91361-1003 |
| Practice Telephone | 8054977001 |
| Practice Fax Number | 8054988076 |
| Mailing Telephone | 8054977001 |
| Mailing Fax Number | 8054988076 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2015-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY6491 | CA | Behavioral Health & Social Service Providers |
| Street Address |
25 W. ROLLING OAKS DR. SUITE #107 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588933253 | Beth Baumeister, Ph.d. | Psychologist | 1546 Calle Hondanada, Thousand Oaks, CA 91360-6825 | 2011-12-23 |
| 1265738645 | Ivone Umar Ghazaleh | Psychologist | 2530 Ashmore Cir, Apt. 28, Thousand Oaks, CA 91362-5759 | 2011-02-02 |
| 1003137654 | David Alan Morrison | Psychologist | 509 Marin St Ste 229, Thousand Oaks, CA 91360-4231 | 2010-06-17 |
| 1174740070 | Lori Ann Thomas-shaw | Psychologist | 550 Saint Charles Dr Ste 101a, Thousand Oaks, CA 91360-3971 | 2007-04-20 |
| 1780765909 | Steven Bryan Blakely | Psychologist | 1587 Oberlin Ave, Thousand Oaks, CA 91360-2042 | 2006-10-17 |
| 1144316696 | Thad Allen Eckman Jr. | Psychologist | 1588 Via Bajada, Thousand Oaks, CA 91360 | 2006-10-04 |
| 1992805048 | Edna Jimenez | Psychologist | 100 E Thousand Oaks Blvd Ste 217, Thousand Oaks, CA 91360-8177 | 2006-09-25 |
| 1790747095 | Terry Frances Perkins | Psychologist | 123 Hodencamp Rd, Suite 106, Thousand Oaks, CA 91360-5896 | 2006-04-04 |
| 1699748202 | Robert Barry Drezner | Psychologist | 1456 Calle Colina, Thousand Oaks, CA 91360-6815 | 2006-02-13 |
| 1154312189 | Mary Kelso | Psychologist | 325 E Hillcrest Dr Ste 115, Thousand Oaks, CA 91360-7782 | 2005-10-31 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on KENNETH RAVEN.
| 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.