Micah Altman PSYD, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY10816 Issued in CA

Legal business name

MICAH ALTMAN PSYD, INC

Doing business as

Micah Altman PsyD, Inc

Practice address

801 E 2ND St
101
Benicia, CA 94510-3347

Phone

(707) 747-9178

Fax

(707) 747-9178

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Micah Altman, PSYD

Title

Owner

Phone

(707) 747-9178

Specialties & licenses 1

Addresses

Other names 1

• Micah Altman PsyD, Inc Doing business as

Locations

Practitioners 1

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

• David Colton Rice, PH.D.

  • Clinical Psychologist
  • Benicia, CA
  • NPI 1467483735
  NPD (past)

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1619242286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 2ND ST",
            "address_2": "101",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103347",
            "telephone_number": "707-747-9178",
            "fax_number": "707-747-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 2ND ST",
            "address_2": "101",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103347",
            "telephone_number": "707-747-9178",
            "fax_number": "707-747-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH ALTMAN PSYD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-747-9178",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY10816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Micah Altman PsyD, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Benicia, CA
• Providers in Benicia, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.