Christiane Desiree J W Speed, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24865 Issued in CA

Practice address

6666 Owens Dr
Pleasanton, CA 94588-3334

Phone

(925) 201-6214

NPI assigned

Sep 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Axis Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Livermore, CA
  • NPI 1336990506
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1235388455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 OWENS DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883334",
            "telephone_number": "925-201-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 OWENS DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883334",
            "telephone_number": "925-201-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEED",
        "first_name": "CHRISTIANE",
        "middle_name": "DESIREE J W",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Lynne Souza, LMFT
• Sowjanya Srikantam DDS Inc
• Speakeasy Speech Therapists, Inc.
• Linwood D Spears
• Speech Bloom Language Pathology Inc.
• Spinal Health Chiropractic
• Spinal Health Chiropractic a Spuller Corporation
• Ryan Spuller, D.C.
• Sowjanya Srikantam, BDS
• St. Jude Home Health Agency Corporation

• Clinical Psychologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.