Organization Active NPI

Developmental Guidance Services Inc.

  • Clinical Psychologist
  • Fountain Valley, CA
National Provider Identifier
1497981054
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY4593 Issued in CA
Legal business name
DEVELOPMENTAL GUIDANCE SERVICES INC.
Practice address
16560 Harbor Blvd
Suite a
Fountain Valley, CA 92708-1336
Phone
(714) 437-7400
Fax
(714) 437-7410
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Philip F Newberg, PH D
Title
President
Phone
(562) 537-9268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY4593 CA Primary

Addresses

Primary practice location

16560 Harbor Blvd
Suite a
Fountain Valley, CA 92708-1336

Mailing address

17150 Newhope St
Suite 507
Fountain Valley, CA 92708-4250
Phone (714) 437-7400

National Provider Directory

National Provider Directory

Locations

16560 Harbor Blvd
Ste Ab
Fountain Valley, CA 92708
Phone (714) 775-8145

16560 Harbor Blvd
Ste A
Fountain Valley, CA 92708

3000 W MacArthur Blvd
Ste 310
Santa Ana, CA 92704
Phone (562) 537-9268

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1497981054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 NEWHOPE ST",
            "address_2": "SUITE 507",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084250",
            "telephone_number": "714-437-7400",
            "fax_number": "714-437-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16560 HARBOR BLVD",
            "address_2": "SUITE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081336",
            "telephone_number": "714-437-7400",
            "fax_number": "714-437-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL GUIDANCE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "NEWBERG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-537-9268",
        "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": "PSY4593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.