Individual provider Active NPI

Philip R Oncley, PHD

  • Psychologist
  • Los Alamitos, CA
National Provider Identifier
1689692832
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY13762 Issued in CA
Practice address
5212 Katella Ave
Suite 104
Los Alamitos, CA 90720-2828
Phone
(562) 430-7986
Fax
(562) 493-1684
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY13762 CA Primary

Addresses

Primary practice location

5212 Katella Ave
Suite 104
Los Alamitos, CA 90720-2828

Mailing address

P. O. Box 90125
Long Beach, CA 90809-0125
Phone (562) 598-8558

Other identifiers 1

IdentifierTypeStateIssuer
PSY137620MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000420 CA Practitioner - Clinical Psychologist 5092994210 Practice locations: Los Alamitos, CA; Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 Dove St
Suite 150
Newport Beach, CA 92660-3018
Phone (949) 271-9583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY13762CAMDPsychologist
13762CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Therapists, Inc. Psychologist PastSince Jun 1, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1689692832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 90125",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908090125",
            "telephone_number": "562-598-8558",
            "fax_number": "562-795-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE",
            "address_2": "SUITE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202828",
            "telephone_number": "562-430-7986",
            "fax_number": "562-493-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONCLEY",
        "first_name": "PHILIP",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY137620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.