Organization Active NPI

John Fraire Aldava IV, PHD, Psychology Group P.C.

  • Psychologist
  • Concord, CA
National Provider Identifier
1356881080
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JOHN FRAIRE ALDAVA IV, PHD, PSYCHOLOGY GROUP P.C.
Practice address
1866 Clayton Rd Ste 103a
Concord, CA 94520-2566
Phone
(925) 785-6682
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Ms. Carol Brink
Title
Assistant
Phone
(925) 785-6682

Specialties & licenses 1

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

Addresses

Primary practice location

1866 Clayton Rd Ste 103a
Concord, CA 94520-2566

Mailing address

1866 Clayton Rd Ste 103a
Concord, CA 94520-2566
Phone (925) 785-6682

National Provider Directory

National Provider Directory

Locations

1866 Clayton Rd
Ste 103A
Concord, CA 94520
Phone (925) 785-6682

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1356881080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 CLAYTON RD STE 103A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202566",
            "telephone_number": "925-785-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 CLAYTON RD STE 103A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202566",
            "telephone_number": "925-785-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN FRAIRE ALDAVA IV, PHD, PSYCHOLOGY GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "925-785-6682",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.