Organization Active NPI

Silicon Valley Psychology

  • Clinical Psychologist
  • Campbell, CA
National Provider Identifier
1386037208
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22255 Issued in CA
Legal business name
SILICON VALLEY PSYCHOLOGY
Practice address
901 Campisi Way
Suite 150
Campbell, CA 95008-2339
Phone
(408) 772-5378
Fax
(669) 222-8368
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. Chris Scott Polizzi, PSY.D.
Title
President
Phone
(408) 772-5378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY22255 CA Primary

Addresses

Primary practice location

901 Campisi Way
Suite 150
Campbell, CA 95008-2339

Mailing address

901 Campisi Way
Suite 150
Campbell, CA 95008-2339
Phone (408) 772-5378

National Provider Directory

National Provider Directory

Locations

901 Campisi Way
Ste 150
Campbell, CA 95008
Phone (408) 827-1942

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1386037208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAMPISI WAY",
            "address_2": "SUITE 150",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082339",
            "telephone_number": "408-772-5378",
            "fax_number": "669-222-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPISI WAY",
            "address_2": "SUITE 150",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082339",
            "telephone_number": "408-772-5378",
            "fax_number": "669-222-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON VALLEY PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "POLIZZI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-772-5378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.