Organization Active NPI

Anaheim Elementary School District

  • School Psychologist
  • Anaheim, CA
National Provider Identifier
1174356380
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
ANAHEIM ELEMENTARY SCHOOL DISTRICT
Practice address
1001 S East St
Anaheim, CA 92805-5749
Phone
(714) 517-7500
NPI assigned
Aug 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Jessie Chang
Title
School Program Psychologist
Phone
(909) 638-3968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

1001 S East St
Anaheim, CA 92805-5749

Mailing address

1001 S East St
Anaheim, CA 92805-5749

National Provider Directory

National Provider Directory
Tax ID family
Anaheim Elementary School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1174356380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S EAST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S EAST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055749",
            "telephone_number": "714-517-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "SCHOOL PROGRAM PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-638-3968"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.