Organization Active NPI

Joann C. Brannock, PH.D., a Psychological Corporation

  • Cognitive & Behavioral Psychologist
  • Fullerton, CA
National Provider Identifier
1326230376
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PSYCH13602 Issued in CA
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

Updated by the provider on Jun 7, 2011

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)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.