ANN KATHLEEN ATKINSON, PHD - NPI NUMBER 1952430084

Summary

Provider Name: ANN KATHLEEN ATKINSON, PHD

NPI Number: 1952430084

Clasification: Psychologist (103TC0700X)

Specialization: Clinical

Address:
1428 PHILLIPS LN
SUITE 300
SAN LUIS OBISPO, CA
ZIP 93401

Phone Number: (805) 545-5720



Detailed Information

Ann Kathleen Atkinson, PHD is a clinical psychologist in San Luis Obispo, CA. The assigned NPI number for this provider is 1952430084 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1428 PHILLIPS LN
SUITE 300
SAN LUIS OBISPO, CA
ZIP 93401-537
Phone: (805) 545-5720
Fax: (805) 545-5727

The enumeration date for this NPI number is 3/5/2007 and was last updated on 7/8/2007.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1003026162 DR. CHERYL WILSON STEED, PSY.D.
Psychologist (Clinical)
1053362160 DR. ANITA ROBIN AYLOR, PHD
Psychologist (Clinical)
1104123777 KIRSTEN LOWRY, PH.D.
Psychologist (Clinical)
1114919263 DR. JEFFREY BRUCE ELLIOTT, PSYD
Psychologist (Clinical)
1124160759 DR. BONNIE WOLFE, PH.D.
Psychologist (Clinical)
1053328823 DR. MARY L MALIK, PHD
Psychologist
1124225628 DR. JEFFREY JAY LILLE, PHD
Psychologist (Clinical)





Taxonomy Codes

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 103TC0700X Psychologist Clinical PSY6863 CA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 R26579 MEDICARE UPIN CA

NPI Record

No. Field Name Field Value
1 NPI 1952430084
2 Entity Type Code 1
3 Provider Last Name Legal Name ATKINSON
4 Provider First Name ANN
5 Provider Middle Name KATHLEEN
6 Provider Credential Text PHD
7 Provider First Line Business Practice Location Address 1428 PHILLIPS LN
8 Provider Second Line Business Practice Location Address SUITE 300
9 Provider Business Practice Location Address City Name SAN LUIS OBISPO
10 Provider Business Practice Location Address State Name CA
11 Provider Business Practice Location Address Postal Code 934012537
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8055455720
14 Provider Business Practice Location Address Fax Number 8055455727
15 Provider Enumeration Date 3/5/2007
16 Last Update Date 7/8/2007
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 103TC0700X
19 Provider License Number 1 PSY6863
20 Provider License Number State Code 1 CA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 R26579
23 Other Provider Identifier Type Code 1 02
24 Other Provider Identifier State 1 CA
25 Is Sole Proprietor Y

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.