Organization Active NPI

Albert J Kastl PHD Inc

  • Psychologist
  • Santa Rosa, CA
National Provider Identifier
1467525972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY3209 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.