Organization Active NPI

The Neurobehavioral Group

  • Clinical Psychologist
  • Fullerton, CA
National Provider Identifier
1053787440
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB94020643 Issued in CA
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

Updated by the provider on Aug 19, 2015

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.