Organization Active NPI

Eileen Warren, PHD Professional Psychology Corporation

  • Clinical Psychologist
  • Paso Robles, CA
National Provider Identifier
1215768692
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
EILEEN WARREN, PHD PROFESSIONAL PSYCHOLOGY CORPORATION
Practice address
1140 Railroad St
Paso Robles, CA 93446-2532
Phone
(805) 712-5528
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Dr. Eileen Warren, PHDNPI 1366606832
Title
Owner/Psychologist
Phone
(805) 712-5528

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1140 Railroad St
Paso Robles, CA 93446-2532

Mailing address

132 Via Fuchsia
Paso Robles, CA 93446-1873
Phone (805) 712-5528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205002275 CA Part B Supplier - Clinic/Group Practice 1254861321 Receives reassigned benefits from 1 practitioner
Practice locations: Paso Robles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1215768692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 VIA FUCHSIA",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934461873",
            "telephone_number": "805-712-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 RAILROAD ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462532",
            "telephone_number": "805-712-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN WARREN, PHD PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "805-712-5528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.