Wellness Within Psychotherapy & Consulting PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WELLNESS WITHIN PSYCHOTHERAPY & CONSULTING PC

Practice address

175 E Prospect Ave Ste 2a
Danville, CA 94526-3866

Phone

(510) 982-1000

Fax

(510) 210-9310

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Norval Joseph Hickman III, PHD, MPHNPI 1356872824

Title

President & Ceo

Phone

(707) 908-0617

Specialties & licenses 2

Addresses

Other names 1

• Wellness Within Psychotherapy & Consulting, Professional Corporation Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norval Hickman III, PH.D.

  • Clinical Psychologist
  • Danville, CA
  • NPI 1356872824
  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1376305664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MILITARY E",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103551",
            "telephone_number": "707-908-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E PROSPECT AVE STE 2A",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263866",
            "telephone_number": "510-982-1000",
            "fax_number": "510-210-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WITHIN PSYCHOTHERAPY & CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "NORVAL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "707-908-0617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD, MPH"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Within Psychotherapy & Consulting, Professional Corporation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wellness Within Psychotherapy & Consulting, Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Danville, CA
• Providers in Danville, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.