Organization Active NPI

Psychological Testing Center of California

  • Clinical Psychologist
  • San Mateo, CA
National Provider Identifier
1811683089
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PSYCHOLOGICAL TESTING CENTER OF CALIFORNIA
Practice address
1730 S Amphlett Blvd Ste 209
San Mateo, CA 94402-2712
Phone
(424) 262-9445
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Dr. Peter Gleiberman Jr., PSYD
Title
Psychologist
Phone
(424) 262-9445

Specialties & licenses 1

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

Addresses

Primary practice location

1730 S Amphlett Blvd Ste 209
San Mateo, CA 94402-2712

Mailing address

1730 S Amphlett Blvd Ste 209
San Mateo, CA 94402-2712
Phone (424) 262-9445

National Provider Directory

National Provider Directory

Locations

1730 S Amphlett Blvd
Ste 209
San Mateo, CA 94402
Phone (424) 262-9445

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1811683089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S AMPHLETT BLVD STE 209",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022712",
            "telephone_number": "424-262-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S AMPHLETT BLVD STE 209",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022712",
            "telephone_number": "424-262-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL TESTING CENTER OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "GLEIBERMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "424-262-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSYD"
    },
    "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 San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.