Provider Demographics
NPI:1790015121
Name:MURPHEY, JOHN JASON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JASON
Last Name:MURPHEY
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 1:2130 P ST
Mailing Address - Street 2:#4
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6153
Mailing Address - Country:US
Mailing Address - Phone:323-610-0773
Mailing Address - Fax:
Practice Address - Street 1:601 UNIVERSITY AVE
Practice Address - Street 2:225
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6775
Practice Address - Country:US
Practice Address - Phone:916-920-5276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB 33889103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical