Connections a Counseling Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 18481 Issued in CA

Legal business name

CONNECTIONS A COUNSELING CENTER

Practice address

39055 Hastings St
Suite 106
Fremont, CA 94538-1518

Phone

(510) 789-3368

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Taylor Wiggins

Title

Credentialing Agent

Phone

(888) 543-6349

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1407250798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39055 HASTINGS ST",
            "address_2": "SUITE 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381518",
            "telephone_number": "510-789-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39055 HASTINGS ST",
            "address_2": "SUITE 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381518",
            "telephone_number": "510-789-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS A COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "888-543-6349",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 18481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Drug Council
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• Rosemarie Angelica Compton
• Ana Monalisa Conceicao Rodrigues
• Britta Gabrielle Conlon, DC
• Maureen Ann Conroy, ATC
• Jessica Contreras Valencia
• Santiago Lopez Contreras, PHARMD
• Grace E Conway
• Ralph Douglas Cook

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.