NPIMap

Organization Active NPI

Walnut Creek DBT Psychology Clinic

  • Psychologist
  • Walnut Creek, CA
National Provider Identifier
1366801482
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Patricia Zurita OnaNPI 1548599897
Title
Ceo
Phone
(925) 956-4636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 24279 CA Primary

Addresses

Primary practice location

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

Mailing address

45 Quail CT
Suite 204
Walnut Creek, CA 94596-5547
Phone (925) 956-4636

National Provider Directory

National Provider Directory

Locations

45 Quail Ct
Ste 204
Walnut Creek, CA 94596
Phone (925) 952-9566

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": "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": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • 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.