Liza Bathori, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY#20160 Issued in CA

Practice address

1101 S Winchester Blvd
Suite C-120
San Jose, CA 95128-3901

Phone

(408) 654-9311

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Liza Stevens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bathori Psychological Group, P.C.

  • Clinical Child & Adolescent Psychologist
  • Palo Alto, CA
  • NPI 1083942700
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1811022775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 HAMILTON AVE",
            "address_2": "SUITE 22",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011830",
            "telephone_number": "650-323-1676",
            "fax_number": "650-323-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD",
            "address_2": "SUITE C-120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283901",
            "telephone_number": "408-654-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHORI",
        "first_name": "LIZA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY#20160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EASTER SEALS BAY AREA",
            "identifier": "EIN:94-3120231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "STEVENS",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydney Bates
• Alexandra Gutierrez Batestin
• Annette Batey, M.S., C.G.C.
• Cailey Justine Bath
• Shrada Bathija
• Jasmine Batiste-Cook
• Ailya Batool
• Sonia Batra, MFT
• Lauren Juliette Batres Alcala
• Aryiana Batres

• Clinical Child & Adolescent Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.