Objects / Healthcare Organization
Healthcare Organization Stored source record
ANDREA SHELLEY, CLINICAL & FORENSIC PSYCHOLOGY, A PROFESSIONAL CORPORA
1832 CENTRO WEST ST, TIBURON, CA, 949201909
atlas:atm_npi_1568851095
What is stored
- phone
- 415-515-3211
- status
- A
- address
- 1832 CENTRO WEST ST, TIBURON, CA, 949201909
- npi
- 1568851095
- license
- PSY20375
- taxonomy
- Psychologist, Clinical
- other names
- []
- last updated
- 2015-01-21
- license state
- CA
- taxonomy code
- 103TC0700X
- all taxonomies
- ["Psychologist, Clinical"]
- enumeration date
- 2015-01-21
- enumeration type
- NPI-2
- practice locations
- 0
- authorized official
- ANDREA SHELLEY
- organizational subpart
- NO
Connected objects
located on
Up to 200 incoming and 200 outgoing links shown. 0 incoming links in total.
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Open JSON · Atlas source representation
Read fact fields
{
"npi": "1568851095",
"phone": "415-515-3211",
"status": "A",
"address": "1832 CENTRO WEST ST, TIBURON, CA, 949201909",
"license": "PSY20375",
"taxonomy": "Psychologist, Clinical",
"other_names": [],
"last_updated": "2015-01-21",
"license_state": "CA",
"taxonomy_code": "103TC0700X",
"all_taxonomies": [
"Psychologist, Clinical"
],
"enumeration_date": "2015-01-21",
"enumeration_type": "NPI-2",
"practice_locations": 0,
"authorized_official": "ANDREA SHELLEY",
"organizational_subpart": "NO"
}