Active NPI
Joann C. Brannock, PH.D., a Psychological Corporation
- Cognitive & Behavioral Psychologist
- Fullerton, CA
National Provider Identifier
1326230376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PSYCH13602
- Legal business name
- JOANN C. BRANNOCK, PH.D., A PSYCHOLOGICAL CORPORATION
- Practice address
- 321 N Pomona Ave #1
Fullerton, CA 92832-1929 - Phone
- (714) 773-5006
- Fax
- (714) 773-5386
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joann Cherami Brannock
- Title
- President
- Phone
- (714) 773-5006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PSYCH13602 | CA | Primary |
Addresses
Primary practice location
321 N Pomona Ave #1
Fullerton, CA 92832-1929
Mailing address
321 N Pomona Ave #1
Fullerton, CA 92832-1929
Phone (714) 773-5006
National Provider Directory
National Provider DirectoryLocations
321 N Pomona Ave
#1
Fullerton, CA 92832
Phone (714) 773-5006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307404800000",
"number": "1326230376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N POMONA AVE #1",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321929",
"telephone_number": "714-773-5006",
"fax_number": "714-773-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N POMONA AVE #1",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321929",
"telephone_number": "714-773-5006",
"fax_number": "714-773-5386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANN C. BRANNOCK, PH.D., A PSYCHOLOGICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2011-06-07",
"status": "A",
"authorized_official_last_name": "BRANNOCK",
"authorized_official_first_name": "JOANN",
"authorized_official_middle_name": "CHERAMI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-773-5006",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSYCH13602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.