Organization Active NPI

John J Kachorek, PHD

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1861616104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY5055 Issued in CA
Legal business name
JOHN J KACHOREK, PHD
Practice address
220 2ND St
Encinitas, CA 92024-3205
Phone
(760) 942-3194
Fax
(760) 942-4563
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John J Kachorek, PHDNPI 1154545499
Title
Owner
Phone
(760) 942-3194

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 PSY5055 CA Primary

Addresses

Primary practice location

220 2ND St
Encinitas, CA 92024-3205

Mailing address

220 2ND St
Encinitas, CA 92024-3205
Phone (760) 942-3194

National Provider Directory

National Provider Directory

Locations

220 2nd St
Encinitas, CA 92024
Phone (760) 390-4150

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861616104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243205",
            "telephone_number": "760-942-3194",
            "fax_number": "760-942-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243205",
            "telephone_number": "760-942-3194",
            "fax_number": "760-942-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J KACHOREK, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KACHOREK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-942-3194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.