NPIMap

Organization Active NPI

Bathori Psychological Group, P.C.

  • Clinical Child & Adolescent Psychologist
  • Palo Alto, CA
National Provider Identifier
1083942700
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY22938 Issued in CA
Legal business name
BATHORI PSYCHOLOGICAL GROUP, P.C.
Practice address
467 Hamilton Ave
Suite 22
Palo Alto, CA 94301-1830
Phone
(650) 323-1225
Fax
(650) 323-1277
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Jon Bathori, PSY.D.
Title
Director
Phone
(650) 323-1225

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X PSY22938 CA Primary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X PSY22938 CA
Psychoanalysis PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0814X PSY22938 CA

Addresses

Primary practice location

467 Hamilton Ave
Suite 22
Palo Alto, CA 94301-1830

Mailing address

467 Hamilton Ave
Suite 22
Palo Alto, CA 94301-1830
Phone (650) 323-1225

National Provider Directory

National Provider Directory

Locations

467 Hamilton Ave
Ste 22
Palo Alto, CA 94301
Phone (650) 323-1225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1083942700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 HAMILTON AVE",
            "address_2": "SUITE 22",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011830",
            "telephone_number": "650-323-1225",
            "fax_number": "650-323-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 HAMILTON AVE",
            "address_2": "SUITE 22",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011830",
            "telephone_number": "650-323-1225",
            "fax_number": "650-323-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATHORI PSYCHOLOGICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "BATHORI",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-323-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY22938",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY22938",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "PSY22938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.