Organization Active NPI

Area Agency on Aging Serving Napa and Solano

  • Clinical Psychologist
  • Vallejo, CA
National Provider Identifier
1235534934
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AREA AGENCY ON AGING SERVING NAPA AND SOLANO
Practice address
400 Contra Costa St
Vallejo, CA 94590-6352
Phone
(707) 644-6612
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Sara Pryor
Title
Program Director
Phone
(707) 644-6612

Specialties & licenses 1

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

Addresses

Primary practice location

400 Contra Costa St
Vallejo, CA 94590-6352

Mailing address

400 Contra Costa St
Vallejo, CA 94590-6352
Phone (707) 644-6612

National Provider Directory

National Provider Directory

Locations

400 Contra Costa St
Vallejo, CA 94590
Phone (707) 644-6612

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1235534934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONTRA COSTA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906352",
            "telephone_number": "707-644-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONTRA COSTA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906352",
            "telephone_number": "707-644-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA AGENCY ON AGING SERVING NAPA AND SOLANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "707-644-6612"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.