Organization Active NPI

Ewing Psychological Center

  • Psychologist
  • Sacramento, CA
National Provider Identifier
1750655296
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Mar 27, 2013

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X CA Primary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.