NEUROEDGE PSYCHOLOGICAL SERVICES, INC.
NPI 1275343857
Clinic/Center - Mental Health (Including Community Mental Health Center) in Thousand Oaks, CA

Q: What is Neuroedge Psychological Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 07, 2025

964 EL SEGUNDO DR, THOUSAND OAKS, CA 91362(310) 995-7427 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Neuroedge Psychological Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEUROEDGE PSYCHOLOGICAL SERVICES, INC. (NPI 1275343857) is a healthcare organization registered as a mental health (including community mental health center) in Thousand Oaks, California and active in the NPI registry since January 2025. The organization lists Beatrix Sibylle Wagner, Clinical Psychologist/ceo, as its authorized official.

NPPES Registry Identity

NPI1275343857

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameNEUROEDGE PSYCHOLOGICAL SERVICES, INC.

Location Address964 EL SEGUNDO DRThousand Oaks, CA 91362-2201

Mailing Address964 El Segundo DrThousand Oaks, CA 91362-2201 · (310) 995-7427

Phone(310) 995-7427

Organization SubpartNo

Authorized OfficialBeatrix Sibylle WagnerClinical Psychologist/ceo · (310) 995-7427

Enumeration DateJanuary 7, 2025

NPPES CertifiedJanuary 7, 2025

✔ NPI 1275343857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

964 EL SEGUNDO DR, Thousand Oaks, CA 91362

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Other Identifiers 4

Other1639358385CA · Anthem Blue Cross

Medicaid1639358385CA

Other12409169CA · Anthem Blue Cross

OtherPG0112723001CA · Blue Shield Of California

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neuroedge Psychological Services, Inc.'s NPI number?

The NPI number for Neuroedge Psychological Services, Inc. is 1275343857. It was assigned to this organization in the NPPES registry on January 7, 2025.

Where is Neuroedge Psychological Services, Inc. located?

Neuroedge Psychological Services, Inc. is located at 964 El Segundo Dr, Thousand Oaks, CA 91362. The listed phone number is (310) 995-7427.

What is Neuroedge Psychological Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Neuroedge Psychological Services, Inc. was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.