1. Home
  2. Directory
  3. California
  4. Thousand Oaks
  5. Community Behavioral Health
  6. NPI Profile

PACIFIC CLINICS YOUTH AND FAMILY SERVICES OF THOUSAND OAKS
NPI 1649306960
Community/Behavioral Health in Thousand Oaks, CA

Active since February 23, 2007
72 MOODY CT, THOUSAND OAKS, CA 91360(805) 777-3519(805) 449-1179 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Clinics Youth And Family Services Of Thousand Oaks NPPES

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

PACIFIC CLINICS YOUTH AND FAMILY SERVICES OF THOUSAND OAKS (NPI 1649306960) is a healthcare organization registered as a community/behavioral health in Thousand Oaks, California and active in the NPI registry since February 2007. The organization lists Susan Mandel, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1649306960
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePACIFIC CLINICS
Location Address72 MOODY CTThousand Oaks, CA 91360-6067
Mailing Address800 S Santa Anita AveArcadia, CA 91006-6853 · (626) 254-5000 · Fax (626) 294-1077
Phone(805) 777-3519
Fax(805) 449-1179
Organization SubpartNo
Authorized OfficialSusan MandelPresident Ceo · (626) 254-5000
Enumeration DateFebruary 23, 2007
Last NPPES UpdateFebruary 4, 2008
✔ NPI 1649306960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
72 MOODY CT, Thousand Oaks, CA 91360
Open in Google Maps ↗

Other Names 1

Other NamePacific Clinics Youth And Family Services Of Thousand Oaks

Other Identifiers 2

Medicaid0000056ACCA
Medicaid0000056BYCA

Other Providers at the Same Location NPPES 20

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

KELLIE GUGLIELMELLI M.A.
Case Manager/Care Coordinator
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3523
MR. EDDIE LARON COURTNEY
Counselor (Mental Health)
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3523
MELISSA NITSCH
Counselor
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3523
MRS. JENNIE TARA BROADHURST BA DEGREE
Case Manager/Care Coordinator
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (805) 587-5328
MR. ROBERT SOLIZ M.S.W.
Case Manager/Care Coordinator
72 MOODY CT, SUITE 101
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
MRS. JUDITH C GERGIS RN
Registered Nurse (Psychiatric/Mental Health, Adult)
72 MOODY CT, SUITE 102
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500
ANDREA ILENE BERGHOLTZ MSN, RN, CHPN
Registered Nurse (Home Health)
72 MOODY CT
THOUSAND OAKS, CA 91360
Ventura County (805) 371-9988
CYNTHIA CHRISTENSON LCSW
Social Worker (Clinical)
72 MOODY CT, SUITE 101
THOUSAND OAKS, CA 91360
Ventura County (805) 777-3500

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 Pacific Clinics's NPI number?

The NPI number for Pacific Clinics is 1649306960. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is also known as Pacific Clinics Youth And Family Services Of Thousand Oaks.

Where is Pacific Clinics located?

Pacific Clinics is located at 72 Moody Ct, Thousand Oaks, CA 91360. The listed phone number is (805) 777-3519.

What is Pacific Clinics's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Pacific Clinics was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.