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DR. PURNA CHANDRA DATTA PH.D.
NPI 1275646036
Psychologist - Clinical in Stockton, CA

Active since August 16, 2006
7510 SHORELINE DR, SUITE A-6, STOCKTON, CA 95219(209) 406-6817(209) 477-2935 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Purna Chandra Datta Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PURNA CHANDRA DATTA PH.D. (NPI 1275646036) is an individual clinical provider in Stockton, California, licensed in California (PSY10808) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1275646036
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PURNA CHANDRA DATTACredential: PH.D.
Location Address7510 SHORELINE DR, SUITE A-6Stockton, CA 95219-5495
Mailing Address7510 Shoreline Dr, Suite A-6Stockton, CA 95219-5495 · (209) 406-6817 · Fax (209) 477-2935
Phone(209) 406-6817
Fax(209) 477-2935
Sole ProprietorYes
Enumeration DateAugust 16, 2006
Last NPPES UpdateApril 12, 2012
✔ NPI 1275646036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY10808
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7510 SHORELINE DR, Stockton, CA 95219
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Other Identifiers 2

Medicare PINOPL108080CA
OtherPSY10808CA · Board Of Psychology

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUZANNE LORENZ LCSW
Social Worker (Clinical)
7510 SHORELINE DR, SUITE A-6
STOCKTON, CA 95219
San Joaquin County (209) 957-4222
DR. ANDREW ROY SMITH
Psychologist
7510 SHORELINE DR, STE A-5
STOCKTON, CA 95219
San Joaquin County (209) 477-1717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Purna Datta's NPI number?

The NPI number for Purna Datta is 1275646036. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Purna Datta located?

Purna Datta practices at 7510 Shoreline Dr Suite A-6, Stockton, CA 95219. The listed phone number is (209) 406-6817.

What is Purna Datta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Purna Datta was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.