DR. JEFFERY S. KATZ


Address: 1440 N Harbor Blv, Ste 800, Fullerton, CA 92835-4142
Phone: 7144738967

DR. JEFFERY S. KATZ (NPI# 1821035585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821035585
Entity Type Individual
Full Name DR. JEFFERY S. KATZ
Credential PHD
Practice Address 1440 N Harbor Blv
Ste 800
Fullerton
CA 92835-4142
Practice Telephone 7144738967
Practice Fax Number 8664404397
Mailing Telephone 7144738967
Mailing Fax Number 7144404397
Enumeration Date 2006-06-01
Last Update Date 2012-10-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PSY00011468 CA Behavioral Health & Social Service Providers
N 103G00000X Clinical Neuropsychologist PSY11468 CA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PSY11468 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 1440 N HARBOR BLV
STE 800
City FULLERTON
State CA
Zip Code 92835-4142

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1134636327 Michelle Harriman, Psychologist - A Professional Corporation Psychologist 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 2018-01-09
1659818631 Jacqueline Rene Miller Specialist/Technologist 2610 Associated Rd, Apt A4, Fullerton, CA 92835 2017-01-27
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1083075030 Advance Recovery Solution, LLC Substance Abuse Rehabilitation Facility 3744 N Hermosa Pl, Fullerton, CA 92835 2016-03-17
1467817981 Michele Ledesma Physical Therapy Assistant 2800 N. Harbor Blvd., Fullerton, CA 92835 2015-12-29
1467820571 Jonghan Kang Acupuncturist 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 2015-09-04
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598070773 Victoria Gutierrez Smith Clinical Neuropsychologist 1501 N Harbor Blvd, Suite 211, Fullerton, CA 92835-3811 2010-08-12
1972538114 Dennis Edward Lindsey Clinical Neuropsychologist 801 E Chapman Ave Ste 213, Fullerton, CA 92831-3847 2006-07-12
1215970041 The Neurobehavioral Group, A Psychological Corporation Clinical Neuropsychologist 1400 N Harbor Blvd, Suite 440, Fullerton, CA 92835-4126 2006-06-13
1669432589 Tammy Ann Ouellette Clinical Neuropsychologist 1370 Brea Blvd, Suite 210, Fullerton, CA 92835-4125 2006-03-24
1336515634 Marisa Sanchez Clinical Neuropsychologist 385 Imperial Hwy, Fullerton, CA 92835-1040 2015-08-20
1538343082 Elaine A. Burke Clinical Neuropsychologist 2050 Youth Way, Fullerton, CA 92835-3819 2007-12-19
1477628923 Margaret Mary Slaven Clinical Neuropsychologist 1400 N Harbor Blvd, Suite 440, Fullerton, CA 92835-4126 2006-11-21
1255425054 Priscilla Polti Armstrong Clinical Neuropsychologist 1400 N Harbor Blvd, Suite 440, Fullerton, CA 92835-4126 2006-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407455108 Chelsea Vilinskas Clinical Neuropsychologist 2624 Larkey Ln, Walnut Creek, CA 94597-2439 2020-10-22
1417554049 Andrea Alioto Clinical Neuropsychologist 247 San Carlos Ave, Redwood City, CA 94061-3518 2020-10-06
1265045975 Well Psychology, Inc. Clinical Neuropsychologist 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 2020-08-24
1922618917 Alyssa Weakley Clinical Neuropsychologist Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 2020-08-04
1437767399 Ni Sun-suslow Clinical Neuropsychologist 220 Dickinson St # B, San Diego, CA 92103-2071 2020-07-16
1366061707 Talia Rose Seider Clinical Neuropsychologist 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 2020-04-15
1699394270 Colin Jarred Gallagher Clinical Neuropsychologist 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 2020-04-13
1649807058 Nicholas S. Thaler Phd A Psychological Corporation Clinical Neuropsychologist 1526 14th St Ste 109, Santa Monica, CA 90404-3320 2020-03-25
1447890116 Hussah Alkharafi Clinical Neuropsychologist 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 2020-01-10
1609414788 Linda Rice Clinical Neuropsychologist 617 Bluegrass St, Simi Valley, CA 93065-5460 2019-12-19
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Competitor

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City FULLERTON
Zip Code 92835

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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