NPIMap

Organization Active NPI

Counseling and Psychological Services

  • Student Health Clinic/Center
  • Stanford, CA
National Provider Identifier
1386842334
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
COUNSELING AND PSYCHOLOGICAL SERVICES
Practice address
866 Campus Dr
Stanford, CA 94305-8508
Phone
(650) 723-3785
Fax
(650) 725-2887
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Alejandro M Martinez, PH.D.
Title
Director
Phone
(650) 723-3785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X CA Primary

Addresses

Primary practice location

866 Campus Dr
Stanford, CA 94305-8508

Mailing address

866 Campus Dr
Stanford, CA 94305-8508
Phone (650) 723-3785

National Provider Directory

National Provider Directory
Tax ID family
Stanford Univ Clinicob17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

866 Campus Dr
Stanford, CA 94305
Phone (650) 723-3195

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1386842334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058508",
            "telephone_number": "650-723-3785",
            "fax_number": "650-725-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058508",
            "telephone_number": "650-723-3785",
            "fax_number": "650-725-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-723-3785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.