NPIMap

Organization Active NPI

Kind Psychological and Behavioral Services, Inc.

  • Behavior Analyst
  • Walnut Creek, CA
National Provider Identifier
1265907141
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIND PSYCHOLOGICAL AND BEHAVIORAL SERVICES, INC.
Practice address
100 Rose Street
Walnut Creek, CA 94595-1341
Phone
(760) 576-9931
NPI assigned
Oct 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
Dr. Courtney Keene Viscomi, PSYD, BCBANPI 1649521592
Title
President
Phone
(760) 576-9931

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
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

100 Rose Street
Walnut Creek, CA 94595-1341

Mailing address

1966 Tice Valley Blvd # 155
Walnut Creek, CA 94595-2203
Phone (760) 576-9931

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1265907141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 TICE VALLEY BLVD # 155",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952203",
            "telephone_number": "760-576-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSE STREET",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951341",
            "telephone_number": "760-576-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND PSYCHOLOGICAL AND BEHAVIORAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "VISCOMI",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "KEENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-576-9931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.