Robert E Record PHD a Psychological Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

PSY6946 Issued in CA

Legal business name

ROBERT E RECORD PHD A PSYCHOLOGICAL CORPORATION

Practice address

875 N Brea Blvd
Brea, CA 92821-2606

Phone

(714) 904-0679

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Record, PH.D.

Title

Licensed Clinical Psychologist

Phone

(714) 904-0679

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1790023240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2189",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928851389",
            "telephone_number": "714-904-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212606",
            "telephone_number": "714-904-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E RECORD PHD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "RECORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-904-0679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "PSY6946",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "PSY6946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Virgil L Robertson, D.C., NP-C
• Robynn L. Robin-McConnell, PA-C
• Belisa Cristina Rodriguez

• Health Maintenance Organization in Brea, CA
• Providers in Brea, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.