Georges Alexandre Tichy, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17833 Issued in CA

Practice address

8787 Center Dr
La Mesa, CA 91942-3034

Phone

(800) 257-8715

Fax

(800) 819-1655

NPI assigned

Jul 13, 2006

Last updated

Feb 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1154346070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 FOOTE CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053012",
            "telephone_number": "951-743-0642",
            "fax_number": "951-352-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423034",
            "telephone_number": "800-257-8715",
            "fax_number": "800-819-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICHY",
        "first_name": "GEORGES",
        "middle_name": "ALEXANDRE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY178330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John Carlos Thompson, M.D.
• Roger A Thrush, PH.D.
• James Tidwell, MD, MPH
• Jonathan Tiefenbrun, M.D.
• Romchoung K Tieu, PARENT PARTNER
• Tiffany Diemquynh Tieu
• Timothy L. Caruthers Chiropractic Corp

• Clinical Psychologist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.