Center for Cognitive Therapy and Sport Psychology, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CENTER FOR COGNITIVE THERAPY AND SPORT PSYCHOLOGY, INC.

Practice address

3 Pointe Dr Ste 305
Brea, CA 92821-7623

Phone

(310) 738-6302

NPI assigned

Aug 30, 2018

Organization subpart

No

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

Authorized official

Name

Mark Oakley, PHD

Title

Owner

Phone

(310) 738-6302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1750863452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 POINTE DR STE 305",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928217623",
            "telephone_number": "310-738-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 POINTE DR STE 305",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928217623",
            "telephone_number": "310-738-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COGNITIVE THERAPY AND SPORT PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-738-6302",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Brea, CA
• Providers in Brea, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.