NPIMap

Organization Active NPI

Attentive Cognitive and Mental Health Services Psychology Inc.

  • Community/Behavioral Health Agency
  • San Ramon, CA
National Provider Identifier
1902427438
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ATTENTIVE COGNITIVE AND MENTAL HEALTH SERVICES PSYCHOLOGY INC.
Practice address
111 Deerwood Rd Ste 200
San Ramon, CA 94583-4445
Phone
(415) 370-7884
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Iris McNabolaNPI 1083874564
Title
Authorized User
Phone
(415) 370-7884

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

111 Deerwood Rd Ste 200
San Ramon, CA 94583-4445

Mailing address

111 Deerwood Rd Ste 200
San Ramon, CA 94583-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200601002793 CA Part B Supplier - Clinic/Group Practice 9537580428 Receives reassigned benefits from 11 practitioners
Practice locations: San Ramon, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1902427438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834445",
            "telephone_number": "415-370-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTENTIVE COGNITIVE AND MENTAL HEALTH SERVICES PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "MCNABOLA",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "AUTHORIZED USER",
        "authorized_official_telephone_number": "415-370-7884"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.