Dr Beaman Psychological Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14704 Issued in CA

Legal business name

DR BEAMAN PSYCHOLOGICAL PROFESSIONAL CORPORATION

Doing business as

Dale Beaman

Practice address

250 W 1St St
242
Claremont, CA 91711-4736

Phone

(909) 621-9023

Fax

(909) 482-2211

NPI assigned

Feb 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dale Beaman, PH.D.

Title

President

Phone

(909) 621-9023

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dale Beaman Doing business as

Locations

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1063752061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 VALLE VISTA PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301835",
            "telephone_number": "909-621-9023",
            "fax_number": "909-482-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST",
            "address_2": "242",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114736",
            "telephone_number": "909-621-9023",
            "fax_number": "909-482-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BEAMAN PSYCHOLOGICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "BEAMAN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-621-9023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659355881",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dale Beaman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Claremont, CA
• Providers in Claremont, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.