Spiritual Psychologist PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SPIRITUAL PSYCHOLOGIST PC

Practice address

5655 Schooner Loop
Discovery Bay, CA 94505-9213

Phone

(562) 331-0978

Fax

(925) 384-2372

NPI assigned

Apr 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Marie Beech, PSYDNPI 1316016793

Title

President

Phone

(562) 331-0978

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Marie Louise Beech, PSY.D.

  • Psychologist
  • Discovery Bay, CA
  • NPI 1316016793

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1669906657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1873",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945057873",
            "telephone_number": "562-331-0978",
            "fax_number": "925-384-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 SCHOONER LOOP",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945059213",
            "telephone_number": "562-331-0978",
            "fax_number": "925-384-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITUAL PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "BEECH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-331-0978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Wayne Pierce Jr., DC
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• Rimple Sandhu, DMD
• Jennifer Storm-Alves
• Blake A Taylor, DPT
• Regina R Theobald, MFT
• Gary Edwin Tucker, DDS
• Vision FX Optometric Services Inc

• All providers in Discovery Bay, CA
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.