Organization Active NPI

David K. Middleton, PHD, Inc

  • Clinical Psychologist
  • Bellflower, CA
National Provider Identifier
1437415536
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10157 Issued in CA
Legal business name
DAVID K. MIDDLETON, PHD, INC
Doing business as
Pioneer Behavioral Health
Practice address
16600 Woodruff Ave
Ste 102
Bellflower, CA 90706-4916
Phone
(562) 920-1600
Fax
(562) 920-0895
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. David K Middleton, PH.D.
Title
Psychologist
Phone
(562) 920-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY10157 CA Primary

Addresses

Primary practice location

16600 Woodruff Ave
Ste 102
Bellflower, CA 90706-4916

Mailing address

16600 Woodruff Ave
Ste 102
Bellflower, CA 90706-4916
Phone (562) 920-1600

Other names 1

  • Pioneer Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

16600 Woodruff Ave
Ste 102
Bellflower, CA 90706
Phone (562) 920-1600

Practitioners & affiliated clinicians

Practitioners 2

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": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1437415536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 WOODRUFF AVE",
            "address_2": "STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064916",
            "telephone_number": "562-920-1600",
            "fax_number": "562-920-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 WOODRUFF AVE",
            "address_2": "STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064916",
            "telephone_number": "562-920-1600",
            "fax_number": "562-920-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K. MIDDLETON, PHD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "562-920-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.