Organization Active NPI

Psychology Center, Inc.

  • Clinical Child & Adolescent Psychologist
  • La Jolla, CA
National Provider Identifier
1629201132
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY22211 Issued in CA
Legal business name
PSYCHOLOGY CENTER, INC.
Practice address
836 Prospect St
Suite 2B
La Jolla, CA 92037-4213
Phone
(650) 384-9164
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Johanna Molnar Warchola, PH.D.
Title
President
Phone
(650) 384-9164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X PSY22211 CA Primary

Addresses

Primary practice location

836 Prospect St
Suite 2B
La Jolla, CA 92037-4213

Mailing address

836 Prospect St
Suite 2B
La Jolla, CA 92037-4213
Phone (650) 384-9164

National Provider Directory

National Provider Directory

Locations

836 Prospect St
Ste 2B
La Jolla, CA 92037
Phone (630) 880-2476

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1629201132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 PROSPECT ST",
            "address_2": "SUITE 2B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374213",
            "telephone_number": "650-384-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PROSPECT ST",
            "address_2": "SUITE 2B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374213",
            "telephone_number": "650-384-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "WARCHOLA",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "MOLNAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-384-9164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY22211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.