Active NPI
Albert J Kastl PHD Inc
- Psychologist
- Santa Rosa, CA
National Provider Identifier
1467525972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY3209
- Legal business name
- ALBERT J KASTL PHD INC
- Practice address
- 1107 Sonoma Ave
Santa Rosa, CA 95405-4805 - Phone
- (707) 528-2144
- Fax
- (707) 527-8667
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert Joseph Kastl, PHD
- Title
- President
- Phone
- (707) 528-2144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY3209 | CA | Primary |
Addresses
Primary practice location
1107 Sonoma Ave
Santa Rosa, CA 95405-4805
Mailing address
1107 Sonoma Ave
Santa Rosa, CA 95405-4805
Phone (707) 528-2144
National Provider Directory
National Provider DirectoryLocations
1107 Sonoma Ave
Santa Rosa, CA 95405
Phone (707) 528-2144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467525972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 SONOMA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054805",
"telephone_number": "707-528-2144",
"fax_number": "707-527-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 SONOMA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054805",
"telephone_number": "707-528-2144",
"fax_number": "707-527-8667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERT J KASTL PHD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KASTL",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-528-2144",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "PSY3209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.