Andrea Mace Licensed Educational Psychologist

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

ANDREA MACE LICENSED EDUCATIONAL PSYCHOLOGIST

Practice address

13 Cliff Walk Dr
Vallejo, CA 94591-6432

Phone

(510) 589-4950

NPI assigned

Oct 24, 2023

Last updated

Oct 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea MaceNPI 1427820323

Title

Owner

Phone

(510) 589-4950

Specialties & licenses 1

Addresses

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.

• Andrea Denise Mace

  • Psychologist
  • Vallejo, CA
  • NPI 1427820323
  NPD Authorized official

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1083486906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 ROBLES WAY # 376",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CLIFF WALK DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916432",
            "telephone_number": "510-589-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA MACE LICENSED EDUCATIONAL PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-589-4950"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilia Anderson
• Everlee Rose Anderson
• Frankie Anderson, CATC III
• Robert Anderson, M.D.
• Rebecca Delilah Andom
• Joanna V Andres
• Dianne Angeles
• Ryan Anthony Angeles, DPT
• John P. Anicetti, MD
• Mark S. Anisman, MD

• Cognitive & Behavioral Psychologist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Cognitive & Behavioral Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.