Active NPI
Integral Life Psychology and Education
- Clinical Psychologist
- Saratoga, CA
National Provider Identifier
1548060908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian W Tierney, PHD, LP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.