Dr. Danessa Mayo, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. DANESSA MAYO, PHD

Practice address

1190 Lincoln Ave Ste 7
San Jose, CA 95125-3036

Phone

(408) 882-1498

Fax

(408) 504-1435

NPI assigned

Apr 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Danessa Mayo, PHD

Title

Clinical Psychologist

Phone

(408) 882-1498

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danessa Iza Mayo, PH.D.

  • Clinical Psychologist
  • Fremont, CA
  • NPI 1043615073
  NPD (past)

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1942762299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 LINCOLN AVE STE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253036",
            "telephone_number": "408-882-1498",
            "fax_number": "408-504-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 LINCOLN AVE STE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253036",
            "telephone_number": "408-882-1498",
            "fax_number": "408-504-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANESSA MAYO, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "DANESSA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "408-882-1498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.