DANIELLE MARIE NISHIDA
NPI 1538558291
Psychologist in Camarillo, CA

Active since January 20, 2015PECOS EnrolledAccepts Medicare Assignment
1750A S LEWIS RD, CAMARILLO, CA 93012(805) 765-9050 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Danielle Marie Nishida NPPES

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

DANIELLE MARIE NISHIDA (NPI 1538558291) is an individual psychologist in Camarillo, California and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1538558291
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDANIELLE MARIE NISHIDA
Location Address1750A S LEWIS RDCamarillo, CA 93012
Mailing Address1025 Cachuma Ave Unit 25Ventura, CA 93004-2476 · (805) 302-8387
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 20, 2015
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1538558291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1750A S LEWIS RD, Camarillo, CA 93012

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danielle Marie Nishida is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173047560
PECOS Enrollment IDI20250407003110
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Danielle Nishida reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
31194 LA BAYA DR STE 100
Westlake Village, CA 91362
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Licensed Vocational Nurse
1750A S LEWIS RD
CAMARILLO, CA 93012
Licensed Practical Nurse
1750A S LEWIS RD
CAMARILLO, CA 93012
Counselor (Mental Health)
1750A S LEWIS RD
CAMARILLO, CA 93012
Registered Nurse
1750A S LEWIS RD
CAMARILLO, CA 93012
Community Based Residential Treatment Facility, Mental Illness
1750A S LEWIS RD
CAMARILLO, CA 93012

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 Danielle Nishida's NPI number?

The NPI number for Danielle Nishida is 1538558291. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Where is Danielle Nishida located?

Danielle Nishida practices at 1750A S Lewis Rd, Camarillo, CA 93012. The listed phone number is (805) 765-9050.

What is Danielle Nishida's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Danielle Nishida enrolled in Medicare?

Yes. Danielle Nishida is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Danielle Nishida's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Nishida reassigns Medicare benefits to 3 organizations: Pacific Coast Psychology Group, Inc. (Westlake Village, CA), Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danielle Nishida's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danielle Nishida was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.