Active NPI
Arthur J. Farkas, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1912192469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19905
- Practice address
- 6046 Cornerstone CT W
Ste 113
San Diego, CA 92121-4758 - Phone
- (858) 453-4315
- Fax
- (858) 453-5690
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY19905 | CA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PSY19905 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY19905 | CA | |
| Clinical Psychologist | 103TC0700X | PSY19905 | CA | Primary |
Addresses
Primary practice location
6046 Cornerstone CT W
Ste 113
San Diego, CA 92121-4758
Mailing address
6046 Cornerstone CT W
Ste 113
San Diego, CA 92121-4758
Phone (858) 453-4315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19905 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1912192469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6046 CORNERSTONE CT W",
"address_2": "STE 113",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214758",
"telephone_number": "858-453-4315",
"fax_number": "858-453-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6046 CORNERSTONE CT W",
"address_2": "STE 113",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214758",
"telephone_number": "858-453-4315",
"fax_number": "858-453-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARKAS",
"first_name": "ARTHUR",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY19905",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "PSY19905",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY19905",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY19905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.