Joel Allen Minden, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27859 Issued in CA

Practice address

341 Broadway St
Ste 414
Chico, CA 95928-5342

Phone

(530) 690-5635

NPI assigned

Dec 15, 2006

Reactivated

Feb 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chico Center for Cognitive Behavior Therapy

  • Clinical Psychologist
  • Chico, CA
  • NPI 1831550227

  Cognitive & Behavioral

  NPD (past) Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1770645673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 BROADWAY ST",
            "address_2": "STE 414",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285342",
            "telephone_number": "530-690-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 BROADWAY ST",
            "address_2": "STE 414",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285342",
            "telephone_number": "530-690-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDEN",
        "first_name": "JOEL",
        "middle_name": "ALLEN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2017-02-10",
        "deactivation_date": "2013-02-19",
        "reactivation_date": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27859",
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27859",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "27859",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CA",
            "license": "27859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Miller, RN
• Stephanie Miller
• Alyssa Milliron, MD
• Angela Jeanette Mills
• Jeffrey Scott Mimbs, D.O.
• Mary Jeanne Miner, FNP
• Renee D Minor, LVN
• Timothy George Miranda Jr.
• Saulo Israel Mireles
• Stuart E Mishelof, P.A.

• Clinical Psychologist in Chico, CA
• Providers in Chico, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.