Richard Atwood, PSY
Individual provider Active NPI Clinical Psychologist · Atascadero, CA
NPI 1366470445 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366470445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY19157 (CA)
- Practice address
- 10333 El Camino Real
Atascadero, CA 93422-5808 - Phone
- (805) 468-2000
- Fax
- (805) 466-6011
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19157 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY19157 | CA | Yes |
Addresses
Primary practice location
10333 El Camino Real
Atascadero, CA 93422-5808
Mailing address
10333 El Camino Real
Atascadero, CA 93422-5808
Phone (805) 468-2000
Other providers in Atascadero, CA
- Atascadero Christian Home
- Atascadero Christian Home Inc
- Atascadero Unified School District
- Atown Labs, LLC
- Brian Rick Atwell Sr.
- Michael T Axelrod
- B. Madzarevic, D.D.S., Inc.
- Camille Babida
- Babujyan Healthcare Hospice, Inc.
- Daniela Bagan
All providers in Atascadero, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.