NPIMap

Organization Active NPI

Contra Costa County Health Services

  • Clinical Psychologist
  • Richmond, CA
National Provider Identifier
1164575940
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
16497 Issued in CA
Legal business name
CONTRA COSTA COUNTY HEALTH SERVICES
Practice address
303 41St St
Richmond, CA 94805-2221
Phone
(510) 374-7159
Fax
(510) 374-3857
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Jon Eric Stenson, PH.D.NPI 1942481072
Title
Progarm Supervisor
Phone
(510) 374-7159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 16497 CA Primary

Addresses

Primary practice location

303 41St St
Richmond, CA 94805-2221

Mailing address

303 41St St
Richmond, CA 94805-2221
Phone (510) 374-7159

National Provider Directory

National Provider Directory

Locations

303 41st St
Richmond, CA 94805
Phone (510) 374-3261

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1164575940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 41ST ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052221",
            "telephone_number": "510-374-7159",
            "fax_number": "510-374-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 41ST ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052221",
            "telephone_number": "510-374-7159",
            "fax_number": "510-374-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA COUNTY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "STENSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PROGARM SUPERVISOR",
        "authorized_official_telephone_number": "510-374-7159",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "16497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.