VALLEY PSYCHOLOGICAL GROUP INC. NPI 1881623080

NPI Information

NPI: 1881623080
Provider Name: VALLEY PSYCHOLOGICAL GROUP INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1011 17TH ST
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 327-4252
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VALLEY PSYCHOLOGICAL GROUP INC. is a mental health counselor in Bakersfield, CA. VALLEY PSYCHOLOGICAL GROUP INC. NPI is 1881623080. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1011 17TH ST
BAKERSFIELD, CA
ZIP 93301-703
Phone: (661) 327-4252
Fax: (661) 327-3409

The provider's authorized official is Gary A Longwith .
The authorized official title is Ceo/clinical Psychologist and has the following contact phone number (661) 327-3405.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 5/31/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		PSY18868	CALIFORNIA	No
2	103T00000X	Psychologist		PSY18868	CALIFORNIA	No
3	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	PSY18868	CALIFORNIA	No
4	103TB0200X	Psychologist	Cognitive & Behavioral	PSY18868	CALIFORNIA	No
5	103TC0700X	Psychologist	Clinical	PSY18868	CALIFORNIA	No
6	103TC2200X	Psychologist	Clinical Child & Adolescent	PSY18868	CALIFORNIA	No
7	103TF0000X	Psychologist	Family	PSY18868	CALIFORNIA	No
8	103TF0200X	Psychologist	Forensic	PSY18868	CALIFORNIA	No
9	103TH0100X	Psychologist	Health Service	PSY18868	CALIFORNIA	No
10	103TP2701X	Psychologist	Group Psychotherapy	PSY18868	CALIFORNIA	No
11	1041C0700X	Social Worker	Clinical	PSY18868	CALIFORNIA	No
12	101YM0800X	Counselor	Mental Health	PSY18868	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ10641Z	OTHER	CALIFORNIA	PTAN
2	ZZZ01641Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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

NPI Synchronization or Removal

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