Organization Active NPI

Alicia Danforth, PH.D., a Psychological Corporation

  • Clinical Psychologist
  • Scotts Valley, CA
National Provider Identifier
1801418124
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ALICIA DANFORTH, PH.D., A PSYCHOLOGICAL CORPORATION
Practice address
212 Sandraya Heights Rd
Scotts Valley, CA 95066-3227
Phone
(408) 634-9080
Fax
(408) 703-2015
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Dr. Alicia Lynn Danforth, PH.D.NPI 1235463969
Title
Ceo/Clinical Psychologist
Phone
(408) 634-9080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

212 Sandraya Heights Rd
Scotts Valley, CA 95066-3227

Mailing address

5610 Scotts Valley Dr
Ste B #285
Scotts Valley, CA 95066-3465
Phone (408) 634-9080

National Provider Directory

National Provider Directory

Locations

16575 Los Gatos Almaden Rd
Ste B
Los Gatos, CA 95032
Phone (408) 634-9080

Practitioners & affiliated clinicians

Practitioners 1

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": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1801418124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 SCOTTS VALLEY DR",
            "address_2": "STE B #285",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663465",
            "telephone_number": "408-634-9080",
            "fax_number": "408-703-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SANDRAYA HEIGHTS RD",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663227",
            "telephone_number": "408-634-9080",
            "fax_number": "408-703-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA DANFORTH, PH.D., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "DANFORTH",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "408-634-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.