Organization Active NPI

School Psychology Group, Inc.

  • School Psychologist
  • Berkeley, CA
National Provider Identifier
1710647680
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
SCHOOL PSYCHOLOGY GROUP, INC.
Practice address
765 San Diego Rd
Berkeley, CA 94707-2025
Phone
(510) 910-3222
Fax
(510) 680-1189
NPI assigned
Dec 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Dr. Noelle Ruth Rubalcava, LEPNPI 1851051726
Title
President
Phone
(510) 910-3222

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

765 San Diego Rd
Berkeley, CA 94707-2025

Mailing address

765 San Diego Rd
Berkeley, CA 94707-2025
Phone (510) 910-3222

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": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1710647680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 SAN DIEGO RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072025",
            "telephone_number": "510-910-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 SAN DIEGO RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072025",
            "telephone_number": "510-910-3222",
            "fax_number": "510-680-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL PSYCHOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "RUBALCAVA",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-910-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LEP"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.