Individual provider Active NPI

Arthur Vito Giacalone, PH.D.

  • Clinical Psychologist
  • Lafayette, CA
National Provider Identifier
1114146545
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11425 Issued in CA
Practice address
936 Dewing Ave
Lafayette, CA 94549-4290
Phone
(925) 256-9069
Fax
(925) 280-1049
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 11425 CA Primary

Addresses

Primary practice location

936 Dewing Ave
Lafayette, CA 94549-4290

Mailing address

605 Preakness Dr
Walnut Creek, CA 94597-3688
Phone (925) 256-9069

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1114146545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PREAKNESS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973688",
            "telephone_number": "925-256-9069",
            "fax_number": "925-280-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 DEWING AVE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494290",
            "telephone_number": "925-256-9069",
            "fax_number": "925-280-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACALONE",
        "first_name": "ARTHUR",
        "middle_name": "VITO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "11425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.