John C Parker IV PHD Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY5717 Issued in CA

Legal business name

JOHN C PARKER IV PHD INC

Practice address

6280 Jackson Dr
Ste 7
San Diego, CA 92119-3437

Phone

(619) 697-0944

Fax

(619) 697-5924

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By 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. John Castlebergh Parker, PHD

Title

President

Phone

(619) 697-0944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568580546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR",
            "address_2": "STE 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193437",
            "telephone_number": "619-697-0944",
            "fax_number": "619-697-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR",
            "address_2": "STE 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193437",
            "telephone_number": "619-697-0944",
            "fax_number": "619-697-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C PARKER IV PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CASTLEBERGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-697-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.