Davis Psychological Educational Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSB94021086 Issued in CA

Legal business name

DAVIS PSYCHOLOGICAL EDUCATIONAL SERVICES, INC.

Practice address

10900 183Rd St
Suite 105
Cerritos, CA 90703-5342

Phone

(323) 854-6284

Fax

(562) 219-5013

NPI assigned

Jan 1, 2016

Last updated

Jan 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alphonso Davis, PSY.D.,, M.A., PPS

Title

Psychological Assistant

Phone

(323) 422-7138

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451606400000",
    "number": "1548626807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2619",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902470619",
            "telephone_number": "323-422-7138",
            "fax_number": "323-777-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 183RD ST",
            "address_2": "SUITE 105",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035342",
            "telephone_number": "323-854-6284",
            "fax_number": "562-219-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS PSYCHOLOGICAL EDUCATIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-01",
        "last_updated": "2016-01-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_title_or_position": "PSYCHOLOGICAL ASSISTANT",
        "authorized_official_telephone_number": "323-422-7138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D.,, M.A., PPS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94021086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniella De Anda
• Cynthia De Jarnett, FNP

• Clinical Psychologist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2016; 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.