Active NPI
Jane Y Fong, PHD & Associates
- Psychologist
- Paso Robles, CA
National Provider Identifier
1063473015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY15121
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Charlottesville, VA
- NPI 1578656864
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.