JUSTIN DANIEL BARKER PSY.D.
NPI 1326499039
Psychologist - Clinical in Culver City, CA

Active since June 23, 2016Opted out of Medicare · through Jan 11, 2027
5701 W SLAUSON AVE STE 140, CULVER CITY, CA 90230(424) 272-1554 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2020, Apr 17, 2020, Jun 23, 2016 (3 updates tracked since 2016).

About Justin Daniel Barker Psy.d. NPPES

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

JUSTIN DANIEL BARKER PSY.D. (NPI 1326499039) is an individual clinical provider in Culver City, California, licensed in California (31921) and active in the NPI registry since June 2016. He has opted out of Medicare through January 11, 2027 and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1326499039
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJUSTIN DANIEL BARKERCredential: PSY.D.
Location Address5701 W SLAUSON AVE STE 140Culver City, CA 90230-6503
Mailing Address24 Rose Ave Apt CVenice, CA 90291-2457 · (626) 864-6412
Sole ProprietorYes
Enumeration DateJune 23, 2016
Last NPPES UpdateJuly 14, 20203 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
NPI 1326499039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 31921
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X
5701 W SLAUSON AVE STE 140, Culver City, CA 90230

Secondary Practice Location 1

Location 1250 W 57th St, Suite 501New York, NY 10107-0001 · Phone (212) 582-1566 · Fax (212) 586-1272

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Justin Daniel Barker Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2021 through January 11, 2027.

Opt-Out Effective DateJanuary 11, 2021
Opt-Out In Effect ThroughJanuary 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Marriage & Family Therapist
5701 W SLAUSON AVE STE 140
CULVER CITY, CA 90230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326499039, enumerated as an "individual" on June 23, 2016.

The provider is located at 5701 W SLAUSON AVE STE 140 CULVER CITY, CA 90230 and the phone number is (424) 272-1554.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.