Provider Demographics
NPI:1669863171
Name:WINFIELD CONSULTING, INC
Entity Type:Organization
Organization Name:WINFIELD CONSULTING, INC
Other - Org Name:FRED E.W. PEIPMAN, PHD, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:EDGAR WINFIELD
Authorized Official - Last Name:PEIPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:970-799-1178
Mailing Address - Street 1:1759 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4009
Mailing Address - Country:US
Mailing Address - Phone:970-799-1178
Mailing Address - Fax:
Practice Address - Street 1:560 OXFORD AVE
Practice Address - Street 2:ROOM 1
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1153
Practice Address - Country:US
Practice Address - Phone:970-799-1178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26578103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty