REGENTS OF UNIVERSITY OF CALIFORNIA NPI 1003001009

Psychologist (Clinical Child & Adolescent)

REGENTS OF UNIVERSITY OF CALIFORNIA

Regents Of University Of California is a psychologist in Irvine, CA. Regents Of University Of California NPI is 1003001009. The provider's taxonomy code is 103TC2200X - Psychologist.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003001009
Provider Name: REGENTS OF UNIVERSITY OF CALIFORNIA
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 09-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 09-14-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Authorized Official Name: PROF. RONALD A KOTKIN Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: CLINICAL PROFESSOR
Authorized Official Phone: (949) 824-6292


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1103TC2200X Additional informationCallout TooltipTaxonomy Code - 103TC2200X


Behavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentPSY12351CAYes

Map Location


REGENTS OF UNIVERSITY OF CALIFORNIA address is 19262 JAMBOREE RD IRVINE, CA 92612 Get Directions