Active NPI
Norman Eugene Chambers, PHD
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1023185824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00PL4651
- Practice address
- 2630 B St
San Diego, CA 92102-1022 - Phone
- (619) 239-0408
- Fax
- (619) 239-3348
- NPI assigned
- Nov 29, 2006
- Last updated
- Aug 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00PL4651 | CA | Primary |
Addresses
Primary practice location
2630 B St
San Diego, CA 92102-1022
Mailing address
2630 B St
San Diego, CA 92102-1022
Phone (619) 239-0408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101025000047 | CA | Practitioner - Psychologist Billing Independently | 8820281710 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2630 B St
San Diego, CA 92102-1022
Phone (619) 239-0408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00PL4651 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1023185824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 B ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921021022",
"telephone_number": "619-239-0408",
"fax_number": "619-239-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 B ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921021022",
"telephone_number": "619-239-0408",
"fax_number": "619-239-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "NORMAN",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "00PL4651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.