Organization Active NPI

Errol D. Schubot, PH.D., a Psychological Corporation

  • Clinical Psychologist
  • San Jose, CA
National Provider Identifier
1891842597
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 003164 Issued in CA
Legal business name
ERROL D. SCHUBOT, PH.D., A PSYCHOLOGICAL CORPORATION
Practice address
1745 Saratoga Ave
San Jose, CA 95129
Phone
(408) 241-0198
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Mr. Errol D. Schubot, PH.D.
Title
President
Phone
(408) 241-0198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY 003164 CA Primary

Addresses

Primary practice location

1745 Saratoga Ave
San Jose, CA 95129

Mailing address

1745 Saratoga Ave
San Jose, CA 95129-5201
Phone (408) 241-0198

National Provider Directory

National Provider Directory

Locations

1745 Saratoga Ave
San Jose, CA 95129
Phone (408) 241-0198

1745 Saratoga Ave
Ste 207
San Jose, CA 95129
Phone (408) 234-8321

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1891842597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295201",
            "telephone_number": "408-241-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95129",
            "telephone_number": "408-241-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERROL D. SCHUBOT, PH.D., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "SCHUBOT",
        "authorized_official_first_name": "ERROL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-241-0198",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 003164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.