Individual provider Active NPI

Alex Sanchez, PSY.D.

  • Clinical Psychologist
  • Concord, CA
National Provider Identifier
1366589889
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32927 Issued in CA
Practice address
1333 Willow Pass Rd
Ste. 102
Concord, CA 94520-7930
Phone
(925) 825-1793
NPI assigned
Jan 31, 2007
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Psychologist 103TC0700X 32927 CA Primary

Addresses

Primary practice location

1333 Willow Pass Rd
Ste. 102
Concord, CA 94520-7930

Mailing address

1333 Willow Pass Rd
Ste. 102
Concord, CA 94520-7930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216002240 CA Practitioner - Clinical Psychologist 1254722762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1333 Willow Pass Rd
Suite 102
Concord, CA 94520-5225
Phone (925) 825-1793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32927CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Portia Bell Hume Behavioral Health and Training Center Current Accepting new patients
Crossroads Institute for Psychotherapy and Assessment, Inc Clinical CurrentSince Dec 13, 2021 Accepting new patients
Portia Bell Hume Behavioral Health & Training Center CurrentSince Sep 1, 2022 Accepting new patients
Portia Bell Hume Behavioral Health and Training Center CurrentSince Sep 1, 2022 Accepting new patients

Locations

1333 Willow Pass Rd
Ste 102
Concord, CA 94520
Phone (925) 338-7928

2601 Airport Dr
Ste 135
Torrance, CA 90505
Phone (424) 201-1600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1366589889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD",
            "address_2": "STE. 102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD",
            "address_2": "STE. 102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207930",
            "telephone_number": "925-825-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.