Organization Active NPI

Anne Elise Ingham, Psy.D.

  • Adult Mental Health Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1639547763
Registry record updated Sep 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PSY27362 Issued in CA
Legal business name
ANNE ELISE INGHAM, PSY.D.
Practice address
550 Hamilton Ave Ste 320
Palo Alto, CA 94301-2031
Phone
(650) 391-6186
NPI assigned
Sep 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2015

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

Authorized official

Name
Dr. Anne Ingham, PSY.D.NPI 1427464981
Title
Licensed Clinical Psychologist
Phone
(650) 391-6186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PSY27362 CA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X PSY27362 CA

Addresses

Primary practice location

550 Hamilton Ave Ste 320
Palo Alto, CA 94301-2031

Mailing address

3772 La Donna Ave
Palo Alto, CA 94306-3150

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1441497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441497600000",
    "number": "1639547763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3772 LA DONNA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HAMILTON AVE STE 320",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012031",
            "telephone_number": "650-391-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ELISE INGHAM, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-06",
        "last_updated": "2015-09-06",
        "status": "A",
        "authorized_official_last_name": "INGHAM",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "650-391-6186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY27362",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "PSY27362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2015; 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.