Organization Active NPI

Psychwest, Clinical & Forensic Psychology, Inc.

  • Clinical Psychologist
  • Yuba City, CA
National Provider Identifier
1740670835
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17789 Issued in CA
Legal business name
PSYCHWEST, CLINICAL & FORENSIC PSYCHOLOGY, INC.
Practice address
1445 Butte House Rd
Suite F
Yuba City, CA 95993-2749
Phone
(530) 751-1122
Fax
(530) 751-1122
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Dr. Craig Edward West, PSY.D.NPI 1871529610
Title
President
Phone
(530) 751-1122

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY17789 CA Primary
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X PSY17789 CA

Addresses

Primary practice location

1445 Butte House Rd
Suite F
Yuba City, CA 95993-2749

Mailing address

1445 Butte House Rd
Suite F
Yuba City, CA 95993-2749
Phone (530) 751-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151008000884 CA Part B Supplier - Clinic/Group Practice 5799093985 Receives reassigned benefits from 1 practitioner
Practice locations: Yuba City, CA

National Provider Directory

National Provider Directory

Locations

8700 Auburn Folsom Rd
Ste 300
Granite Bay, CA 95746
Phone (916) 788-1060

1445 Butte House Rd
Ste F
Yuba City, CA 95993
Phone (530) 751-1122

Practitioners & affiliated clinicians

Practitioners 6

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": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1740670835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 BUTTE HOUSE RD",
            "address_2": "SUITE F",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932749",
            "telephone_number": "530-751-1122",
            "fax_number": "530-751-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 BUTTE HOUSE RD",
            "address_2": "SUITE F",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932749",
            "telephone_number": "530-751-1122",
            "fax_number": "530-751-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHWEST, CLINICAL & FORENSIC PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-751-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17789",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY17789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.