Organization Active NPI

Concept Healthcare Psychology Group, Inc.

  • Health Service Psychologist
  • Hemet, CA
National Provider Identifier
1073755401
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
PSY5291 Issued in CA
Legal business name
CONCEPT HEALTHCARE PSYCHOLOGY GROUP, INC.
Practice address
1717 W Stetson Ave
Hemet, CA 92545-6882
Phone
(951) 925-9171
Fax
(951) 925-8186
NPI assigned
Mar 31, 2009
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Dr. Joseph M Casciani, PHDNPI 1316975717
Title
President
Phone
(858) 272-3992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X PSY5291 CA Primary

Addresses

Primary practice location

1717 W Stetson Ave
Hemet, CA 92545-6882

Mailing address

4901 Morena Blvd
Suite 109
San Diego, CA 92117-3423
Phone (858) 272-3992

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1073755401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 MORENA BLVD",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173423",
            "telephone_number": "858-272-3992",
            "fax_number": "858-272-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W STETSON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925456882",
            "telephone_number": "951-925-9171",
            "fax_number": "951-925-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT HEALTHCARE PSYCHOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "CASCIANI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-272-3992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY5291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.