Active NPI
The Psychological Group
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1487057642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY23144
- Legal business name
- THE PSYCHOLOGICAL GROUP
- Practice address
- 302 Washington St Ste 1501938
San Diego, CA 92103-2110 - Phone
- (800) 790-0890
- Fax
- (888) 742-9360
- NPI assigned
- Oct 2, 2014
- 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. Christopher Christopher Cooper, PHD
- Title
- President
- Phone
- (800) 790-0890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY23144 | CA | Primary |
Addresses
Primary practice location
302 Washington St Ste 1501938
San Diego, CA 92103-2110
Mailing address
302 Washington St Ste 1501938
San Diego, CA 92103-2110
Phone (800) 790-0890
National Provider Directory
National Provider Directory- Tax ID family
- The Psychological Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- San Diego, CA
- NPI 1134548506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412208000000",
"number": "1487057642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST STE 1501938",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032110",
"telephone_number": "800-790-0890",
"fax_number": "888-742-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST STE 1501938",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032110",
"telephone_number": "800-790-0890",
"fax_number": "888-742-9360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PSYCHOLOGICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-02",
"last_updated": "2014-10-02",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-790-0890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY23144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.