Organization Active NPI

Stewart E Teal Eva Peters Hunting & Jerry L Plummer PTR

  • Group Psychotherapy Psychologist
  • Davis, CA
National Provider Identifier
1295738755
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
STEWART E TEAL EVA PETERS HUNTING & JERRY L PLUMMER PTR
Practice address
2055 Anderson Rd
Davis, CA 95616-0672
Phone
(530) 758-1580
Fax
(530) 758-9869
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Mr. Jerry L Plummer, DSWNPI 1467455923
Title
Managing Partner
Phone
(530) 758-1580

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

2055 Anderson Rd
Davis, CA 95616-0672

Mailing address

PO Box 483
Davis, CA 95617-0483
Phone (530) 758-1580

Other names 1

  • Omnibus Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1295738755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956170483",
            "telephone_number": "530-758-1580",
            "fax_number": "530-758-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 ANDERSON RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160672",
            "telephone_number": "530-758-1580",
            "fax_number": "530-758-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART E TEAL EVA PETERS HUNTING & JERRY L PLUMMER PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "530-758-1580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnibus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.