Active NPI
The Neurobehavioral Group
- Clinical Psychologist
- Fullerton, CA
National Provider Identifier
1053787440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB94020643
- Legal business name
- THE NEUROBEHAVIORAL GROUP
- Practice address
- 385 Imperial Hwy
Fullerton, CA 92835-1040 - Phone
- (714) 681-9070
- Fax
- (714) 773-4788
- NPI assigned
- Aug 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Margaret Mary Slaven, PSYD
- Title
- Ceo
- Phone
- (714) 681-9070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB94020643 | CA | Primary |
Addresses
Primary practice location
385 Imperial Hwy
Fullerton, CA 92835-1040
Mailing address
385 Imperial Hwy
Fullerton, CA 92835-1040
Phone (714) 681-9070
Other names 1
- Fullerton Neuropsychological Services
National Provider Directory
National Provider DirectoryLocations
385 Imperial Hwy
Fullerton, CA 92835
Phone (714) 681-9070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Irvine, CA
- NPI 1689744005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439942400000",
"number": "1053787440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 IMPERIAL HWY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928351040",
"telephone_number": "714-681-9070",
"fax_number": "714-773-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 IMPERIAL HWY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928351040",
"telephone_number": "714-681-9070",
"fax_number": "714-773-4788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NEUROBEHAVIORAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A",
"authorized_official_last_name": "SLAVEN",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-681-9070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94020643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fullerton Neuropsychological Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fullerton, CA
- Nicholas John Thanos, M.D.
- Anuj Thapar
- The Center for the Treatment of Addiction
- The Center for the Treatment of Addiction
- The Look and the Cook LLC
- The Neurobehavioral Group, a Psychological Corporation
- The Nightingale Hospice and Palliative Care Inc.
- The Paradise
- The Pathology Group, Inc.
- The Sober Zone, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.