Organization Active NPI

Integral Life Psychology and Education

  • Clinical Psychologist
  • Saratoga, CA
National Provider Identifier
1548060908
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INTEGRAL LIFE PSYCHOLOGY AND EDUCATION
Practice address
20688 4TH St # 4
Saratoga, CA 95070-5894
Phone
(510) 541-8680
Fax
(833) 806-7237
NPI assigned
Mar 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Authorized official

Name
Brian W Tierney, PHD, LPNPI 1093856098
Title
President
Phone
(510) 541-8680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

20688 4TH St # 4
Saratoga, CA 95070-5894

Mailing address

2243 Cherrystone Dr
San Jose, CA 95128-1219
Phone (510) 541-8680

National Provider Directory

National Provider Directory

Locations

20688 4th St
#4
Saratoga, CA 95070
Phone (510) 541-8680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1548060908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 CHERRYSTONE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281219",
            "telephone_number": "510-541-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20688 4TH ST # 4",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705894",
            "telephone_number": "510-541-8680",
            "fax_number": "833-806-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL LIFE PSYCHOLOGY AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-541-8680",
        "authorized_official_credential": "PHD, LP"
    },
    "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 Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.