Dr. Speed, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24865 Issued in CA

Legal business name

DR. SPEED, INC.

Practice address

672 W 11TH St Ste 100
Tracy, CA 95376-3821

Phone

(209) 834-4302

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christiane D Speed, PSY.D.

Title

Clinical Psychologist/President

Phone

(209) 834-4302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1730530460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 W 11TH ST STE 100",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763821",
            "telephone_number": "209-834-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 W 11TH ST STE 100",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763821",
            "telephone_number": "209-834-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SPEED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "SPEED",
        "authorized_official_first_name": "CHRISTIANE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "209-834-4302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Tracy, CA
• Providers in Tracy, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.