Northern California Child Psychology Services Inc.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Legal business name

NORTHERN CALIFORNIA CHILD PSYCHOLOGY SERVICES INC.

Practice address

4865 Old Redwood Highway
#104
Santa Rosa, CA 95403

Phone

(707) 890-6541

Fax

(888) 528-7464

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Edward Joseph Ferrero Jr., PSYD.NPI 1730550534

Title

Psychologist/Founder

Phone

(707) 246-7416

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Edward Ferrero

  • Psychologist
  • Santa Rosa, CA
  • NPI 1730550534
  NPD Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1801669072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 OLD REDWOOD HIGHWAY",
            "address_2": "#104",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-890-6541",
            "fax_number": "888-528-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 OLD REDWOOD HIGHWAY",
            "address_2": "#104",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-890-6541",
            "fax_number": "888-528-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA CHILD PSYCHOLOGY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "FERRERO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PSYCHOLOGIST/FOUNDER",
        "authorized_official_telephone_number": "707-246-7416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Health Service Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.