Active NPI
Carl Fabrizio Jr., PSY.D.
- Clinical Psychologist
- Norwalk, CA
National Provider Identifier
1740331610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 14542
- Practice address
- 11401 Bloomfield
Norwalk, CA 90650 - Phone
- (909) 606-5000
- Fax
- (909) 606-5075
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 14542 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY 14542 | CA | |
| Forensic Psychologist | 103TF0200X | PSY 14542 | CA |
Addresses
Primary practice location
11401 Bloomfield
Norwalk, CA 90650
Mailing address
11401 Bloomfield
Norwalk, CA 90650
Phone (949) 275-2027
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 14542 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1740331610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 BLOOMFIELD",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "949-275-2027",
"fax_number": "909-606-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11401 BLOOMFIELD",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "909-606-5000",
"fax_number": "909-606-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABRIZIO",
"first_name": "CARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 14542",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY 14542",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY 14542",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.