The Greenleaf Center a Psychological Services Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16485 Issued in CA

Legal business name

THE GREENLEAF CENTER A PSYCHOLOGICAL SERVICES CORPORATION

Practice address

13006 Philadelphia St
Suite 411
Whittier, CA 90601-4210

Phone

(562) 945-5108

Fax

(562) 945-5208

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Garcia, PH.D.NPI 1194732511

Title

Director

Phone

(562) 945-5108

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jorge Garcia, PH.D.

  • Clinical Psychologist
  • Whittier, CA
  • NPI 1194732511
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1558390641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 PHILADELPHIA ST",
            "address_2": "SUITE 411",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014210",
            "telephone_number": "562-945-5108",
            "fax_number": "562-945-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13006 PHILADELPHIA ST",
            "address_2": "SUITE 411",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014210",
            "telephone_number": "562-945-5108",
            "fax_number": "562-945-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREENLEAF CENTER A PSYCHOLOGICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-945-5108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16485",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPS001430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.