Walnut Creek DBT Psychology Clinic

Primary specialty

PsychologistTaxonomy code 103T00000X

License

24279 Issued in CA

Legal business name

WALNUT CREEK DBT PSYCHOLOGY CLINIC

Practice address

45 Quail CT
Suite 204
Walnut Creek, CA 94596-5547

Phone

(925) 956-4636

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Patricia Zurita Ona

Title

Ceo

Phone

(925) 956-4636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1366801482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 QUAIL CT",
            "address_2": "SUITE 204",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965547",
            "telephone_number": "925-956-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 QUAIL CT",
            "address_2": "SUITE 204",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965547",
            "telephone_number": "925-956-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK DBT PSYCHOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "ZURITA ONA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-956-4636"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "24279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Waller, MD/MPH
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• Mechelle Walls, BS
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• Walnut Creek Dentists Partnership
• Walnut Creek Elementary School District
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• Psychologist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.