Pacific Blue Psychological Services
NPI 1124678719 · Psychologist · Sherman Oaks, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Blue Psychological Services is a Psychologist organization in Sherman Oaks, CA (NPI 1124678719).
Provider details
- NPI number
- 1124678719
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- John Carroll, Owner(858) 883-3277
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4133 Redwood Ave Unit 1002Los Angeles, CA 90066-5627Phone: (858) 883-3277
Registry dates
- Enumerated
- 2019-09-16
- Last updated
- 2020-10-09
- Certified
- 2020-10-09
Frequently asked questions
- What is Pacific Blue Psychological Services's NPI number?
- Pacific Blue Psychological Services's National Provider Identifier (NPI) is 1124678719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Blue Psychological Services?
- Pacific Blue Psychological Services is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Pacific Blue Psychological Services located?
- Pacific Blue Psychological Services's practice location on file with NPPES is 15235 Burbank Blvd Ste A2, Sherman Oaks, CA 91411-3555.
- What is Pacific Blue Psychological Services's phone number?
- The practice phone number listed in the NPPES registry for Pacific Blue Psychological Services is (858) 883-3277.
- Does Pacific Blue Psychological Services accept Medicare?
- Pacific Blue Psychological Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Blue Psychological Services?
- The authorized official listed on Pacific Blue Psychological Services's NPPES record is John Carroll, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Blue Psychological Services's NPI active?
- Yes — Pacific Blue Psychological Services's NPI (1124678719) is active in the NPPES registry as of the last update on 2020-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.