Deborh Mather

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17113 Issued in CA

Legal business name

DEBORH MATHER

Practice address

4281 Katella Ave
Suite 122
Los Alamitos, CA 90720-3500

Phone

(714) 229-9900

Fax

(714) 229-9959

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Gwen Mather, PH.D.NPI 1669429767

Title

Psychologist

Phone

(714) 229-9900

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Psychotherapy Group Doing business as

Practitioners 1

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

• Deborah Gwen Mather, PH.D.

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1669429767
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962563775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE",
            "address_2": "SUITE 122",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203500",
            "telephone_number": "714-229-9900",
            "fax_number": "714-229-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE",
            "address_2": "SUITE 122",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203500",
            "telephone_number": "714-229-9900",
            "fax_number": "714-229-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORH MATHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "GWEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-229-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Psychotherapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Annette Davis, PA
• Scott Davis, D.C.
• James Edward Day Sr.
• Ana Maria Cajigas De Jesus
• Jose De Souza Jr., MD
• Roya Dedeaux, M.S., MFT INTERN
• Corey Deeble, DDS
• Ilaisa Mae Dela Rosa
• Geoffrey Paul Delaurier, M.D.
• Lana Delshadi, ED.D.

• Clinical Psychologist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.