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IRENE S. FRUCHTBAUM, PH.D., Q.M.E.
NPI 1447010053
Psychologist - Group Psychotherapy in Agoura Hills, CA

Active since March 20, 2024
28310 ROADSIDE DR STE 202A, AGOURA HILLS, CA 91301(818) 650-1960 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Irene S. Fruchtbaum, Ph.d., Q.m.e. NPPES

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

IRENE S. FRUCHTBAUM, PH.D., Q.M.E. (NPI 1447010053) is a healthcare organization registered as a group psychotherapy in Agoura Hills, California and active in the NPI registry since March 2024. The organization lists Irene Fruchtbaum, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1447010053
Entity TypeOrganization
Primary Taxonomy103TP2701X
Legal Business NameIRENE S. FRUCHTBAUM, PH.D., Q.M.E.
Location Address28310 ROADSIDE DR STE 202AAgoura Hills, CA 91301-4958
Mailing AddressPo Box 4117West Hills, CA 91308-4117 · (310) 699-6510
Phone(818) 650-1960
Organization SubpartNo
Authorized OfficialIrene FruchtbaumClinical Psychologist · (818) 650-1960
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1447010053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
28310 ROADSIDE DR STE 202A, Agoura Hills, CA 91301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA M HENNESSEY LCSW
Social Worker (Clinical)
28310 ROADSIDE DR STE 202A
AGOURA HILLS, CA 91301
Los Angeles County (818) 584-2494

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 Irene S. Fruchtbaum, Ph.D., Q.M.E.'s NPI number?

The NPI number for Irene S. Fruchtbaum, Ph.D., Q.M.E. is 1447010053. It was assigned to this organization in the NPPES registry on March 20, 2024.

Where is Irene S. Fruchtbaum, Ph.D., Q.M.E. located?

Irene S. Fruchtbaum, Ph.D., Q.M.E. is located at 28310 Roadside Dr Ste 202A, Agoura Hills, CA 91301. The listed phone number is (818) 650-1960.

What is Irene S. Fruchtbaum, Ph.D., Q.M.E.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

When was this NPI record last updated?

The NPPES record for Irene S. Fruchtbaum, Ph.D., Q.M.E. was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.