Organization Active NPI

Counselaid Psychological Corporation

  • Clinical Psychologist
  • Twentynine Palms, CA
National Provider Identifier
1063595262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY2912 Issued in CA
Legal business name
COUNSELAID PSYCHOLOGICAL CORPORATION
Practice address
6476 Adobe Road
Twentynine Palms, CA 92277
Phone
(760) 367-6198
Fax
(760) 367-0418
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul F Barkman, PHD
Title
President
Phone
(760) 367-6198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY2912 CA Primary

Addresses

Primary practice location

6476 Adobe Road
Twentynine Palms, CA 92277

Mailing address

PO Box 1716
Twentynine Palms, CA 92277-1000
Phone (760) 367-6198

National Provider Directory

National Provider Directory

Locations

6476 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-6198

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063595262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1716",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922771000",
            "telephone_number": "760-367-6198",
            "fax_number": "760-367-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6476 ADOBE ROAD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92277",
            "telephone_number": "760-367-6198",
            "fax_number": "760-367-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELAID PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARKMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-367-6198",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY2912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.