# BATHORI PSYCHOLOGICAL GROUP, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083942700
- **Authorized official:** DR. JON BATHORI PSY.D. (DIRECTOR)
- **Authorized official phone:** (650) 323-1225

## Contact information

- **Practice address:** 467 HAMILTON AVE, SUITE 22, PALO ALTO, CA 94301-1830
- **Practice address phone:** (650) 323-1225
- **Practice address fax:** (650) 323-1277
- **Mailing address:** 467 HAMILTON AVE, SUITE 22, PALO ALTO, CA 94301-1830
- **Mailing address phone:** (650) 323-1225
- **Mailing address fax:** (650) 323-1277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY22938 | CA | Yes |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | PSY22938 | CA | — |
| 103TP0814X | Psychoanalysis Psychologist | PSY22938 | CA | — |

## Other

- **Enumeration date:** 11/19/2009
- **Last updated:** 11/19/2009