NPIMap

Organization Active NPI

Cohealth Psychology Services, P.a.

  • Health Service Psychologist
  • Desoto, TX
National Provider Identifier
1720220148
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
24830 Issued in TX
Legal business name
COHEALTH PSYCHOLOGY SERVICES, P.A.
Practice address
1101 N Hampton Rd
Desoto, TX 75115-3951
Phone
(972) 223-3944
NPI assigned
Mar 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Joseph M Casciani, PHD
Title
President
Phone
(858) 272-3992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X 24830 TX Primary

Addresses

Primary practice location

1101 N Hampton Rd
Desoto, TX 75115-3951

Mailing address

4901 Morena Blvd
Suite 109
San Diego, CA 92117-3423
Phone (858) 272-3992

National Provider Directory

National Provider Directory

Locations

23905 Clinton Keith Rd
Ste 114411
Wildomar, CA 92595

Practitioners & affiliated clinicians

Practitioners 11

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": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1720220148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 MORENA BLVD",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173423",
            "telephone_number": "858-272-3992",
            "fax_number": "858-272-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153951",
            "telephone_number": "972-223-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEALTH PSYCHOLOGY SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "CASCIANI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-272-3992",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "24830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.