Organization Active NPI

Anaheim Hills Psychological Services

  • Clinical Psychologist
  • Anaheim, CA
National Provider Identifier
1174907810
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10192 Issued in CA
Legal business name
ANAHEIM HILLS PSYCHOLOGICAL SERVICES
Practice address
155 N Riverview Dr
Ste. 209
Anaheim, CA 92808-1225
Phone
(714) 769-9050
Fax
(714) 941-9199
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Dr. Alexandra J. Rogers, PH.D.
Title
Clinical Psychologist
Phone
(714) 769-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY10192 CA Primary

Addresses

Primary practice location

155 N Riverview Dr
Ste. 209
Anaheim, CA 92808-1225

Mailing address

PO Box 17635
Anaheim, CA 92817-7635
Phone (714) 769-9050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1174907810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17635",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928177635",
            "telephone_number": "714-769-9050",
            "fax_number": "714-941-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N RIVERVIEW DR",
            "address_2": "STE. 209",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081225",
            "telephone_number": "714-769-9050",
            "fax_number": "714-941-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM HILLS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-769-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10192",
            "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 Jul 13, 2015; 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.