MEDICARE: DR. ANITA JO CHATIGNY PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist	PSY10058	CA
2	103T00000X	Psychologist	PSY10058	CA

General Provider Information

NPI Number	:	1386622074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANITA JO CHATIGNY PH.D.

Provider Business Mailing Address
First Line	:	2225 E TAHQUITZ CANYON WAY
Second Line	:	SUITE 5
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7022
Country	:	US
Telephone Number	:	760-416-8589
Fax Number	:	760-416-2061

Provider Business Practice Location Address
First Line	:	2225 E TAHQUITZ CANYON WAY
Second Line	:	SUITE 5
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7022
Country	:	US
Telephone Number	:	760-416-8589
Fax Number	:	760-416-2061

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	09/11/2025

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