Paul Depompo, Psy.D. Associates a Professional Psychology Corp

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY21596 Issued in CA

Legal business name

PAUL DEPOMPO, PSY.D. ASSOCIATES A PROFESSIONAL PSYCHOLOGY CORP

Doing business as

Cognitive Behavioral Therapy Institute of Southern California

Practice address

4667 Macarthur Blvd
320
Newport Beach, CA 92660-1817

Phone

(949) 300-1952

NPI assigned

Nov 20, 2012

Last updated

Oct 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Depompo, PSY.D., ABPPNPI 1013028265

Title

Ceo

Phone

(949) 300-1952

Specialties & licenses 1

Addresses

Other names 1

• Cognitive Behavioral Therapy Institute of Southern California Doing business as

Locations

Practitioners 1

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.

• Paul T Depompo, PSY.D.

  • Psychologist
  • Newport Beach, CA
  • NPI 1013028265
  Authorized official Same address or phone

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1053655720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 EASTBLUFF DR STE B",
            "address_2": "253",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603599",
            "telephone_number": "949-300-1952",
            "fax_number": "949-313-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 MACARTHUR BLVD",
            "address_2": "320",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601817",
            "telephone_number": "949-300-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL DEPOMPO, PSY.D. ASSOCIATES A PROFESSIONAL PSYCHOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "DEPOMPO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-300-1952",
        "authorized_official_credential": "PSY.D., ABPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cognitive Behavioral Therapy Institute of Southern California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Patton, PHD
• Lauren Patty, MD
• Gina Stacy Patzkowski, AU.D.
• Paul a. Selecky, M.D.,Inc.
• Paul B. Whittemore, PH.D., a Professional Corporation
• Paul Jason Korc, MD, Inc.
• Malcolm David Paul, M.D.
• Suchismita Paul, M.D.
• Petra Paule, M.D.
• Marc L Paulsen, M.D.

• Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.