Alicia Lynn Danforth, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27822 Issued in CA

Practice address

16575 Los Gatos Almaden Rd Ste B
Los Gatos, CA 95032-3582

Phone

(408) 634-9080

Fax

(408) 703-2015

NPI assigned

Sep 29, 2009

Last updated

Aug 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jul 6, 2022 through Jul 6, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Alicia Danforth, PH.D., a Psychological Corporation

  • Clinical Psychologist
  • Scotts Valley, CA
  • NPI 1801418124
  NPD Authorized official

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1235463969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16575 LOS GATOS ALMADEN RD STE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323582",
            "telephone_number": "408-634-9080",
            "fax_number": "408-703-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16575 LOS GATOS ALMADEN RD STE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323582",
            "telephone_number": "408-634-9080",
            "fax_number": "408-703-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANFORTH",
        "first_name": "ALICIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salma Dabiri, M.D.
• Sedigheh Shukofeh Dadvar, PH.D
• Julie Dalla
• Amy Beth Daly
• Anthony J Damore, MD
• Kim-Phuong Thi Dang, M.D.
• Thulien Thi Dang
• Geneve Yvonne Dannels
• Daring Gray LLC
• Jane Kazumi Darmitzel

• Clinical Psychologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.