Vergil Hobbs, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY9990 Issued in CA

Practice address

1260 N Dutton Ave
Suite 225
Santa Rosa, CA 95401-4659

Phone

(707) 526-5424

NPI assigned

Apr 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Siyan Clinical Corporation

  • Psychiatry Physician
  • Santa Rosa, CA
  • NPI 1568732972
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1689093726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N DUTTON AVE",
            "address_2": "SUITE 225",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014659",
            "telephone_number": "707-526-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N DUTTON AVE",
            "address_2": "SUITE 225",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014659",
            "telephone_number": "707-526-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "VERGIL",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY9990",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quyen Hoang, PHARM D
• Vunghi Hoang, M.D.
• Mara Marie Hoban, RDH
• William Gordon Hoban, MA,PSYCHOLOGY
• Callie Hobbs, FNP
• Robert Peter Hobson, PHD
• Sue E Hocker
• Eric Michael Hodes, MD
• Frank Robert Hodges, DDS
• Jonathan Hodgkin, MD

• Clinical Neuropsychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.