Provider Demographics
NPI:1659483824
Name:JAMES A STRATIGAKES PHD A PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:JAMES A STRATIGAKES PHD A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:STRATIGAKES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:530-470-0444
Mailing Address - Street 1:825 ZION ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-2922
Mailing Address - Country:US
Mailing Address - Phone:530-470-0444
Mailing Address - Fax:530-470-0278
Practice Address - Street 1:825 ZION ST
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2922
Practice Address - Country:US
Practice Address - Phone:530-470-0444
Practice Address - Fax:530-470-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12769103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPL127690Medicare ID - Type UnspecifiedPSYCHOLOGIST