Central California Psychological Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY20259 Issued in CA

Legal business name

CENTRAL CALIFORNIA PSYCHOLOGICAL SERVICES, INC

Practice address

3120 W Main St Ste B
Visalia, CA 93291-5764

Phone

(559) 423-0723

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Elisabeth King, PSY. D.

Title

President

Phone

(559) 259-5886

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1245686153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W MAIN ST STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915764",
            "telephone_number": "559-423-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W MAIN ST STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915764",
            "telephone_number": "559-423-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CALIFORNIA PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-259-5886",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY20259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.