NPIMap

Organization Active NPI

Professional Services Associates a Professional Psychological Corporat

  • Psychologist
  • Placerville, CA
National Provider Identifier
1255860854
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6138 Issued in CA
Legal business name
PROFESSIONAL SERVICES ASSOCIATES A PROFESSIONAL PSYCHOLOGICAL CORPORAT
Practice address
941 Spring St Ste 5
Placerville, CA 95667-4546
Phone
(530) 341-8772
Fax
(530) 698-5241
NPI assigned
Jun 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Terry C Weyl, PHDNPI 1376702415
Title
Owner/Director
Phone
(530) 341-8772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6138 CA Primary
Marriage & Family Therapist 106H00000X 86919 CA

Addresses

Primary practice location

941 Spring St Ste 5
Placerville, CA 95667-4546

Mailing address

941 Spring St Ste 5
Placerville, CA 95667-4546
Phone (530) 341-8772

National Provider Directory

National Provider Directory

Locations

941 Spring St
Ste 5
Placerville, CA 95667
Phone (530) 341-8772

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255860854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 SPRING ST STE 5",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674546",
            "telephone_number": "530-341-8772",
            "fax_number": "530-698-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SPRING ST STE 5",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674546",
            "telephone_number": "530-341-8772",
            "fax_number": "530-698-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SERVICES ASSOCIATES A PROFESSIONAL PSYCHOLOGICAL CORPORAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEYL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "530-341-8772",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "6138",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.