Roberto D Decandia, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY12012 Issued in CA

Practice address

1000 S Fremont Ave
Eastern Los Angeles Regional Center
Alhambra, CA 91802-7916

Phone

(626) 299-4700

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1881699452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5163",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917450163",
            "telephone_number": "626-299-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE",
            "address_2": "EASTERN LOS ANGELES REGIONAL CENTER",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918027916",
            "telephone_number": "626-299-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECANDIA",
        "first_name": "ROBERTO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12012",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "PSY120120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica De Los Angeles
• Michelle Dominique De Santo, D.O.
• Dexter De Vera
• Bradley William Dea
• Aleyah Dominique Dean
• Angeleen Del Moral
• Mayela Del Rio, PPS,220133888
• Chessa Francisco Del Rosario, NP
• Myra Del Rosario
• Andrik Alexander Delgadillo

• Clinical Psychologist in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.