Organization Active NPI

Alpha Beta Behavioral Psychological Services Inc.

  • Clinical Psychologist
  • Bakersfield, CA
National Provider Identifier
1952942187
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ALPHA BETA BEHAVIORAL PSYCHOLOGICAL SERVICES INC.
Practice address
2026 17TH St Ste 101
Bakersfield, CA 93301-4251
Phone
(559) 328-8434
NPI assigned
Sep 29, 2019
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Annie Asher
Title
Billing Coordinator
Phone
(760) 417-2131

Specialties & licenses 1

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

Addresses

Primary practice location

2026 17TH St Ste 101
Bakersfield, CA 93301-4251

Mailing address

8010 Vidius Way
Bakersfield, CA 93313-6429
Phone (661) 348-4299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200413000627 CA Part B Supplier - Clinic/Group Practice 7113356296 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

2026 17th St
Ste 101
Bakersfield, CA 93301
Phone (661) 322-9772

Practitioners & affiliated clinicians

Practitioners 3

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": "1569715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1952942187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 VIDIUS WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933136429",
            "telephone_number": "661-348-4299",
            "fax_number": "661-215-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 17TH ST STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014251",
            "telephone_number": "559-328-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA BETA BEHAVIORAL PSYCHOLOGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-29",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "ASHER",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "760-417-2131"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.