Richard Eugene Ortigo, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10692 Issued in CA

Practice address

21660 Copley Dr Ste 350
Diamond Bar, CA 91765-5508

Phone

(909) 612-0601

Fax

(909) 612-0602

NPI assigned

Jul 24, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1154551158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N KENWOOD ST UNIT 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062372",
            "telephone_number": "818-545-8561",
            "fax_number": "909-612-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21660 COPLEY DR STE 350",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917655508",
            "telephone_number": "909-612-0601",
            "fax_number": "909-612-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIGO",
        "first_name": "RICHARD",
        "middle_name": "EUGENE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.