Joseph Gannon, Ph.D. A Professional Psychology Corporation
LBN: Joseph Gannon, Ph.D. A Professional Psychology Corporation
Joseph Gannon, Ph.D. A Professional Psychology Corporation is an health care organization with primary practice located at 4445 Eastgate Mall Pmb 843 Suite 200, San Diego CA 92121-1979. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Cognitive & Behavioral is the primary health care specialty.
Joseph Gannon, Ph.D. A Professional Psychology Corporation can be contacted via phone (858) 705-5439, or through Gannon, Joseph Patrick via phone (858) 705-5439.
Contact Information
Primary practice address
4445 Eastgate Mall Pmb 843 Suite 200
San Diego CA 92121-1979
Phone: (858) 705-5439
Fax: (858) 771-1078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY12034 | California |
Profile Details
| NPI number | 1245277227 |
|---|---|
| LBN Legal business name | Joseph Gannon, Ph.D. A Professional Psychology Corporation |
| DBA Doing business as | |
| Authorized official | Gannon, Joseph Patrick PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 30th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245277227 | NPPES |
| California | Other | OPL120340 | BLUE SHIELD PROVIDER IDEN |
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