Healthcare Provider Details

I. General information

NPI: 1174837132
Provider Name (Legal Business Name): JAMES W PARTINGTON PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 01/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 LENNON LN STE A
WALNUT CREEK CA
94598-2418
US

IV. Provider business mailing address

311 LENNON LN STE A
WALNUT CREEK CA
94598-2418
US

V. Phone/Fax

Practice location:
  • Phone: 925-210-9370
  • Fax: 925-210-0436
Mailing address:
  • Phone: 925-210-9370
  • Fax: 925-210-0436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-99-0177
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-99-0177
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY8876
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: