Provider Demographics
NPI:1457473431
Name:OBEGI, JOSEPH HILLARY (PSYD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:HILLARY
Last Name:OBEGI
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 B ST
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-4505
Mailing Address - Country:US
Mailing Address - Phone:530-302-7304
Mailing Address - Fax:866-469-7454
Practice Address - Street 1:228 B ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4505
Practice Address - Country:US
Practice Address - Phone:530-302-7304
Practice Address - Fax:866-469-7454
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21603103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical