Organization Active NPI

Steve Brody PHD Inc Clinical Psychologist

  • Clinical Psychologist
  • Cambria, CA
National Provider Identifier
1164725818
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STEVE BRODY PHD INC CLINICAL PSYCHOLOGIST
Practice address
800 Hillcrest Dr
Cambria, CA 93428-2840
Phone
(805) 927-5020
NPI assigned
Dec 17, 2010
Last updated
Dec 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Dr. Steve BrodyNPI 1386847952
Title
President
Phone
(805) 927-5020

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 Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

800 Hillcrest Dr
Cambria, CA 93428-2840

Mailing address

800 Hillcrest Dr
Cambria, CA 93428-2840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000456 CA Part B Supplier - Clinic/Group Practice 6709065717 Receives reassigned benefits from 1 practitioner
Practice locations: Cambria, CA

National Provider Directory

National Provider Directory

Locations

800 Hillcrest Dr
Ste 7
Cambria, CA 93428
Phone (805) 927-5020

1110 California Blvd
Ste F
San Luis Obispo, CA 93401
Phone (805) 546-1190

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1164725818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HILLCREST DR",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934282840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HILLCREST DR",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934282840",
            "telephone_number": "805-927-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE BRODY PHD INC CLINICAL PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-927-5020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.