Provider Demographics
NPI:1821881392
Name:PAISLEY, MARA RACHELE (AMFT)
Entity type:Individual
Prefix:
First Name:MARA
Middle Name:RACHELE
Last Name:PAISLEY
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:MARA
Other - Middle Name:RACHELE
Other - Last Name:SHAPSHAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6550 TAPLEY ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-3935
Mailing Address - Country:US
Mailing Address - Phone:310-383-8070
Mailing Address - Fax:
Practice Address - Street 1:1911 WILLIAMS DR STE 150
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2612
Practice Address - Country:US
Practice Address - Phone:805-981-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA155004106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist