Active NPI
Pamela Downie, PH.D.
- Psychologist
- Corona, CA
National Provider Identifier
1275688939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 18287
- Practice address
- 370 W Grand Blvd
Suite 106
Corona, CA 92882-2173 - Phone
- (951) 940-5802
- Fax
- (951) 443-1139
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 18287 | CA | Primary |
Addresses
Primary practice location
370 W Grand Blvd
Suite 106
Corona, CA 92882-2173
Mailing address
17494 Santa Rosa Mine Rd
Perris, CA 92570-7758
Phone (951) 940-5802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33BEFN | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18287 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1275688939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17494 SANTA ROSA MINE RD",
"city": "PERRIS",
"state": "CA",
"postal_code": "925707758",
"telephone_number": "951-940-5802",
"fax_number": "951-443-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 W GRAND BLVD",
"address_2": "SUITE 106",
"city": "CORONA",
"state": "CA",
"postal_code": "928822173",
"telephone_number": "951-940-5802",
"fax_number": "951-443-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNIE",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 18287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33BEFN",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.