Active NPI
Ewing Psychological Center
- Psychologist
- Sacramento, CA
National Provider Identifier
1750655296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- EWING PSYCHOLOGICAL CENTER
- Doing business as
- Ewing Psychological Center
- Practice address
- 100 Howe Ave
Suite 155N
Sacramento, CA 95825-8202 - Phone
- (916) 482-6463
- Fax
- (916) 482-1327
- NPI assigned
- Mar 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Troy J. Ewing, PSY.D.
- Title
- Ceo
- Phone
- (916) 482-6469
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | CA | Primary | |
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Forensic Psychologist | 103TF0200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X |
Addresses
Primary practice location
100 Howe Ave
Suite 155N
Sacramento, CA 95825-8202
Mailing address
100 Howe Ave
Suite 155N
Sacramento, CA 95825-8202
Phone (916) 482-6463
Other names 1
- Ewing Psychological Center
National Provider Directory
National Provider DirectoryLocations
100 Howe Ave
Ste 155N
Sacramento, CA 95825
Phone (916) 482-6463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1750655296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOWE AVE",
"address_2": "SUITE 155N",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958258202",
"telephone_number": "916-482-6463",
"fax_number": "916-482-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOWE AVE",
"address_2": "SUITE 155N",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958258202",
"telephone_number": "916-482-6463",
"fax_number": "916-482-1327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EWING PSYCHOLOGICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-01",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "EWING",
"authorized_official_first_name": "TROY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-482-6469",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ewing Psychological Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.