Active NPI
Area Agency on Aging Serving Napa and Solano
- Clinical Psychologist
- Vallejo, CA
National Provider Identifier
1235534934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.