DR. RICHARD BEAVER PH.D. NPI 1487673596

NPI Information

  • NPI: 1487673596
  • Provider Name: DR. RICHARD BEAVER, PH.D.
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 275 HOSPITAL PKWY
    SUITE 470
    SAN JOSE, CA
    ZIP 95119
  • Phone: (408) 972-3364

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NPI Details

DR. Richard Beaver, PH.D. is a health service psychologist in San Jose, CA. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Richard Beaver, PH.D. NPI is 1487673596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

275 HOSPITAL PKWY
SUITE 470
SAN JOSE, CA
ZIP 95119-106
Phone: (408) 972-3364
Fax: (408) 972-6088

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/8/2007.

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
1103TH0100XPsychologistHealth Service1565COLORADONo
2103TH0100XPsychologistHealth Service20328CALIFORNIAYes

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
107015654MEDICAIDCALIFORNIA
263116MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 11/21/2025

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