Organization Active NPI

Robert C Davison PHD Psychology Inc.

  • Psychologist
  • Orange, CA
National Provider Identifier
1356611313
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY9478 Issued in CA
Legal business name
ROBERT C DAVISON PHD PSYCHOLOGY INC.
Practice address
1439 E Chapman Ave
Orange, CA 92866-2228
Phone
(714) 288-0525
Fax
(714) 289-9008
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Robert C Davison, PHD
Title
Ceo
Phone
(714) 288-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY9478 CA Primary

Addresses

Primary practice location

1439 E Chapman Ave
Orange, CA 92866-2228

Mailing address

1439 E Chapman Ave
Orange, CA 92866-2228
Phone (714) 288-0525

Other practice location 1

2501 E Chapman Ave
# 403
Orange, CA 92869-3204
Phone (714) 288-0525

Other practice location 2

2501 E Chapman Ave
# 403
Orange, CA 92869-3204
Phone (714) 288-0525

National Provider Directory

National Provider Directory

Locations

2501 E Chapman Ave
#403
Orange, CA 92869
Phone (714) 288-0525

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356611313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662228",
            "telephone_number": "714-288-0525",
            "fax_number": "714-289-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662228",
            "telephone_number": "714-288-0525",
            "fax_number": "714-289-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 E Chapman Ave",
            "address_2": "# 403",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693204",
            "country_code": "US",
            "telephone_number": "714-288-0525",
            "fax_number": "714-289-9008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 E Chapman Ave",
            "address_2": "# 403",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693204",
            "country_code": "US",
            "telephone_number": "714-288-0525",
            "fax_number": "714-289-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT C DAVISON PHD PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-288-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.