Organization Active NPI

Psychological Advances in Coping Education Inc

  • Cognitive & Behavioral Psychologist
  • Palm Desert, CA
National Provider Identifier
1952318586
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
PSYCHOLOGICAL ADVANCES IN COPING EDUCATION INC
Practice address
77564 Country Club Dr Ste 207
Palm Desert, CA 92211-6248
Phone
(760) 404-0183
Fax
(714) 526-1602
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Authorized official

Name
Timothy Lee Sams, PHDNPI 1912010885
Title
President
Phone
(760) 404-0183

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
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

77564 Country Club Dr Ste 207
Palm Desert, CA 92211-6248

Mailing address

PO Box 13330
Palm Desert, CA 92255-3330
Phone (760) 404-0183

Other names 2

  • PACE Inc Former legal business name
  • Psychological Advances in Coping Education Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041109000917 CA Part B Supplier - Clinic/Group Practice 3274596325 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA
O20200527001378 FL Part B Supplier - Clinic/Group Practice 3274596325 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL
O20200714003961 TX Part B Supplier - Clinic/Group Practice 3274596325 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

23792 Rockfield Blvd
Ste 290
Lake Forest, CA 92630
Phone (949) 303-8932

400 Newport Center Dr
Ste 410
Newport Beach, CA 92660
Phone (949) 644-5800

77564 Country Club Dr
Ste 207
Palm Desert, CA 92211
Phone (760) 404-0183

77564 Country Club Dr
Ste 100
Palm Desert, CA 92211
Phone (760) 404-0183

2522 Chambers Rd
Ste 106
Tustin, CA 92780
Phone (760) 404-0183

301 W Bay St
Ste 1400
Jacksonville, FL 32202
Phone (760) 404-0183

3960 Howard Hughes Pkwy
#50
Las Vegas, NV 89169
Phone (702) 990-3614

13809 Research Blvd
Ste 5
Austin, TX 78750
Phone (512) 399-3003

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1952318586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13330",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922553330",
            "telephone_number": "760-404-0183",
            "fax_number": "714-526-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 207",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116248",
            "telephone_number": "760-404-0183",
            "fax_number": "714-526-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ADVANCES IN COPING EDUCATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "SAMS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-404-0183",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACE Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Psychological Advances in Coping Education Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.