Center of Compassionate Care

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY12015 Issued in CA

Legal business name

CENTER OF COMPASSIONATE CARE

Practice address

2030 E 4TH St
Suite 140F
Santa Ana, CA 92705-3940

Phone

(714) 569-9976

Fax

(714) 569-9910

NPI assigned

Jan 26, 2011

Last updated

Jun 14, 2011By 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. Agnes Claire Dickson

Title

Owner

Phone

(714) 569-9910

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1588960322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E 4TH ST",
            "address_2": "SUITE 140F",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053940",
            "telephone_number": "714-569-9976",
            "fax_number": "714-569-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E 4TH ST",
            "address_2": "SUITE 140F",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053940",
            "telephone_number": "714-569-9976",
            "fax_number": "714-569-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF COMPASSIONATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-569-9910",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.