Organization Active NPI

Westbrook Psychological Services, Inc.

  • Clinical Psychologist
  • Carmichael, CA
National Provider Identifier
1437587912
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WESTBROOK PSYCHOLOGICAL SERVICES, INC.
Practice address
5931 Stanley Ave Ste 1
Carmichael, CA 95608-3846
Phone
(916) 436-3580
Fax
(916) 436-3581
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Alysia Liddell, PHD
Title
Executive Director
Phone
(916) 436-3580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5931 Stanley Ave Ste 1
Carmichael, CA 95608-3846

Mailing address

3941 Park Dr Ste 20-359
El Dorado Hills, CA 95762-4549
Phone (916) 436-3580

National Provider Directory

National Provider Directory

Locations

5931 Stanley Ave
Ste 1
Carmichael, CA 95608
Phone (916) 436-3580

3941 Park Dr
Ste 20359
El Dorado Hills, CA 95762

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437587912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 PARK DR STE 20-359",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624549",
            "telephone_number": "916-436-3580",
            "fax_number": "916-436-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 STANLEY AVE STE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083846",
            "telephone_number": "916-436-3580",
            "fax_number": "916-436-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBROOK PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIDDELL",
        "authorized_official_first_name": "ALYSIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-436-3580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.