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STANFORD HOSPITAL AND CLINICS NPI 1295863405


NPI Information

NPI: 1295863405
Provider Name: STANFORD HOSPITAL AND CLINICS
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
300 PASTEUR DRIVE
RM A343
STANFORD, CA
ZIP 94305
Phone: (650) 498-7875
Get Directions

STANFORD HOSPITAL AND CLINICS is a clinical neuropsychologist in Stanford, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. STANFORD HOSPITAL AND CLINICS NPI is 1295863405. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

300 PASTEUR DRIVE
RM A343
STANFORD, CA
ZIP 94305-235
Phone: (650) 498-7875
Fax: (650) 498-7868

The provider's authorized official is Mark Burdelle .
The authorized official title is Neurodiagnostic Lab Manager and has the following contact phone number (650) 723-0244.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistYes
2103T00000XPsychologistX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PSY124930MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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