Organization Active NPI

Psychological Services Group

  • Marriage & Family Therapist
  • Concord, CA
National Provider Identifier
1043607450
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 30254 Issued in CA
Legal business name
PSYCHOLOGICAL SERVICES GROUP
Practice address
1868 Clayton Rd
Suite 126
Concord, CA 94520-2547
Phone
(925) 609-8448
Fax
(925) 609-7222
NPI assigned
Apr 23, 2015
Last updated
Apr 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Dansie, M.ANPI 1881081321
Title
Owner
Phone
(925) 609-8448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 30254 CA Primary

Addresses

Primary practice location

1868 Clayton Rd
Suite 126
Concord, CA 94520-2547

Mailing address

1868 Clayton Rd
Suite 126
Concord, CA 94520-2547
Phone (925) 609-8448

National Provider Directory

National Provider Directory

Locations

1868 Clayton Rd
Ste 126
Concord, CA 94520
Phone (925) 595-4354

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1043607450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 CLAYTON RD",
            "address_2": "SUITE 126",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202547",
            "telephone_number": "925-609-8448",
            "fax_number": "925-609-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 CLAYTON RD",
            "address_2": "SUITE 126",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202547",
            "telephone_number": "925-609-8448",
            "fax_number": "925-609-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "DANSIE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-609-8448",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 30254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.