NPIMap

Organization Active NPI

Psychological Assessment Services

  • Group Psychotherapy Psychologist
  • Santa Ana, CA
National Provider Identifier
1801059597
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
PSY41140 Issued in CA
Legal business name
PSYCHOLOGICAL ASSESSMENT SERVICES
Practice address
2107 N Broadway
Suite 207
Santa Ana, CA 92706-2630
Phone
(714) 972-0040
Fax
(714) 972-0477
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Roland Jules Chabot, PH.D.
Title
Psychologist
Phone
(714) 972-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X PSY41140 CA Primary

Addresses

Primary practice location

2107 N Broadway
Suite 207
Santa Ana, CA 92706-2630

Mailing address

2107 N Broadway
Suite 207
Santa Ana, CA 92706-2630
Phone (714) 972-0040

National Provider Directory

National Provider Directory
Tax ID family
Psychological Assessment Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2107 N Broadway
Ste 207
Santa Ana, CA 92706
Phone (714) 972-0040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1801059597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N BROADWAY",
            "address_2": "SUITE 207",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062630",
            "telephone_number": "714-972-0040",
            "fax_number": "714-972-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 N BROADWAY",
            "address_2": "SUITE 207",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062630",
            "telephone_number": "714-972-0040",
            "fax_number": "714-972-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "CHABOT",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "JULES",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-972-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY41140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.