Child & Family Psychology Clinic

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY13717 Issued in CA

Legal business name

CHILD & FAMILY PSYCHOLOGY CLINIC

Practice address

5500 Ming Ave
Suite 120
Bakersfield, CA 93309-4689

Phone

(661) 833-5890

Fax

(661) 833-5892

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Earl Kirk, PH.D

Title

President

Phone

(661) 833-5890

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104998368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE",
            "address_2": "SUITE 120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094689",
            "telephone_number": "661-833-5890",
            "fax_number": "661-833-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MING AVE",
            "address_2": "SUITE 120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094689",
            "telephone_number": "661-833-5890",
            "fax_number": "661-833-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & FAMILY PSYCHOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-833-5890",
        "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": "PSY13717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall B Chey, D.D.S.
• CHI-Yu Arthur Huang DDS Inc
• Chiao-Tze Hwang DDS Inc
• Chibuike Enyereibe Anucha MD, PC
• Henry Chien, M.D.
• Child Neurology Center of Bakersfield
• Childnet Youth and Family Services Inc
• Children'S Dentistry of Bakersfield
• Mike T Chin, DO
• Chinese Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.