Active NPI
Psychology Center, Inc.
- Clinical Child & Adolescent Psychologist
- La Jolla, CA
National Provider Identifier
1629201132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY22211
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 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 DirectoryLocations
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.