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FRED FINCH YOUTH CENTER NPI 1063723427


NPI Information

NPI: 1063723427
Provider Name: FRED FINCH YOUTH CENTER

Other Name: FRED FINCH YOUTH CENTER-POLINSKY

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
9400 RUFFIN CT
SAN DIEGO, CA
ZIP 92123
Phone: (619) 873-4075
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FRED FINCH YOUTH CENTER is a clinical psychologist in San Diego, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. FRED FINCH YOUTH CENTER NPI is 1063723427. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Fred Finch Youth Center-polinsky.

The provider's business location address is:

9400 RUFFIN CT
SAN DIEGO, CA
ZIP 92123-300
Phone: (619) 873-4075
Fax: (619) 621-2268

The provider's authorized official is Thomas N Alexander .
The authorized official title is President And Ceo and has the following contact phone number (510) 482-2244.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 9/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
4103TH0100XPsychologistHealth ServiceNo
5104100000XSocial WorkerNo
61041C0700XSocial WorkerClinicalNo
7106H00000XMarriage & Family TherapistNo
8103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.