Individual provider Active NPI

Joan K Savarese, PH. D.

  • Psychologist
  • Pleasant Hill, CA
National Provider Identifier
1710020607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY10516 Issued in CA
Practice address
391 Taylor Blvd Ste 250
Pleasant Hill, CA 94523-2288
Phone
(925) 655-2125
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY10516 CA Primary

Addresses

Primary practice location

391 Taylor Blvd Ste 250
Pleasant Hill, CA 94523-2288

Mailing address

391 Taylor Blvd Ste 250
Pleasant Hill, CA 94523-2288
Phone (925) 655-2125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY10516CAMDPsychologist
10516CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710020607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 TAYLOR BLVD STE 250",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232288",
            "telephone_number": "925-655-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 TAYLOR BLVD STE 250",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232288",
            "telephone_number": "925-655-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVARESE",
        "first_name": "JOAN",
        "middle_name": "K",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.