Organization Active NPI

Jane Y Fong, PHD & Associates

  • Psychologist
  • Paso Robles, CA
National Provider Identifier
1063473015
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY15121 Issued in CA
Legal business name
JANE Y FONG, PHD & ASSOCIATES
Practice address
1818 Spring St Ste a
Paso Robles, CA 93446-1617
Phone
(805) 239-9595
Fax
(805) 239-9119
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Dr. Jane Y Fong, PHD
Title
Practice Director/Psychologist
Phone
(805) 239-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY15121 CA Primary

Addresses

Primary practice location

1818 Spring St Ste a
Paso Robles, CA 93446-1617

Mailing address

1818 Spring St Ste a
Paso Robles, CA 93446-1617
Phone (805) 239-9595

National Provider Directory

National Provider Directory

Locations

939 Oak St
Ste D
Paso Robles, CA 93446
Phone (805) 239-9595

1818 Spring St
Ste A
Paso Robles, CA 93446
Phone (805) 239-9595

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1063473015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 SPRING ST STE A",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934461617",
            "telephone_number": "805-239-9595",
            "fax_number": "805-239-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SPRING ST STE A",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934461617",
            "telephone_number": "805-239-9595",
            "fax_number": "805-239-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE Y FONG, PHD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "805-239-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.