NPIMap

Organization Active NPI

Compass Christian Psychologists, a Professional Corporation

  • Clinical Psychologist
  • Covina, CA
National Provider Identifier
1265752703
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 19399 Issued in CA
Legal business name
COMPASS CHRISTIAN PSYCHOLOGISTS, A PROFESSIONAL CORPORATION
Practice address
1272 Center Court Dr
103
Covina, CA 91724-3667
Phone
(951) 310-1159
Fax
(626) 387-8095
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Dr. John Charles Mendoza, PHD.
Title
President
Phone
(951) 310-1159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY 19399 CA Primary

Addresses

Primary practice location

1272 Center Court Dr
103
Covina, CA 91724-3667

Mailing address

PO Box 553
Walnut, CA 91788-0553
Phone (951) 310-1159

National Provider Directory

National Provider Directory

Locations

1272 Center Court Dr
Ste 103
Covina, CA 91724
Phone (714) 414-9794

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1265752703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 553",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917880553",
            "telephone_number": "951-310-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 CENTER COURT DR",
            "address_2": "103",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243667",
            "telephone_number": "951-310-1159",
            "fax_number": "626-387-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS CHRISTIAN PSYCHOLOGISTS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-310-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 19399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.