1235350570 NPI number — A CLINICAL PSYCHOLOGY PRACTICE INC

Table of content: (NPI 1235350570)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235350570 NPI number — A CLINICAL PSYCHOLOGY PRACTICE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A CLINICAL PSYCHOLOGY PRACTICE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235350570
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1108
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RANCHO MIRAGE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92270
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-340-2476
Provider Business Mailing Address Fax Number:
760-340-2476

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
74040 HIGHWAY 111
Provider Second Line Business Practice Location Address:
STEJ4
Provider Business Practice Location Address City Name:
PALM DESERT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92260-4134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-340-2476
Provider Business Practice Location Address Fax Number:
760-340-2476
Provider Enumeration Date:
05/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GAEDT
Authorized Official First Name:
SABINE
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
760-340-2476

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PSY13454 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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