Active NPI
Corey D Fox, PH.D.
- Health Psychologist
- Fair Oaks, CA
National Provider Identifier
1093022071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- 33880
- Practice address
- 6056 Kenneth Oak Way
Fair Oaks, CA 95628-2673 - Phone
- (916) 987-5686
- Fax
- (916) 244-0129
- NPI assigned
- Sep 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | 33880 | TX | Primary |
Addresses
Primary practice location
6056 Kenneth Oak Way
Fair Oaks, CA 95628-2673
Mailing address
6056 Kenneth Oak Way
Fair Oaks, CA 95628-2673
Phone (916) 987-5686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33880 | TX | MD | Health Psychologist |
| 001497 | CT | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284163200000",
"number": "1093022071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6056 KENNETH OAK WAY",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956282673",
"telephone_number": "916-987-5686",
"fax_number": "916-244-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6056 KENNETH OAK WAY",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956282673",
"telephone_number": "916-987-5686",
"fax_number": "916-244-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "COREY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-11",
"last_updated": "2010-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "TX",
"license": "33880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.