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PSYCHSANDIEGO NPI 1114245727


NPI Information

NPI: 1114245727
Provider Name: PSYCHSANDIEGO
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
311 LAUREL ST
SAN DIEGO, CA
ZIP 92101
Phone: (858) 531-4960
Get Directions

PSYCHSANDIEGO 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. PSYCHSANDIEGO NPI is 1114245727. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

311 LAUREL ST
SAN DIEGO, CA
ZIP 92101-630
Phone: (858) 531-4960

The provider's authorized official is Justine Dykes .
The authorized official title is Office Manager and has the following contact phone number (858) 531-4960.

The enumeration date for this NPI number is 5/6/2010 and was last updated on 5/6/2010.


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
1103TC0700XPsychologistClinicalPSY19734CALIFORNIANo
2103TC0700XPsychologistClinicalPSY21903CALIFORNIANo
3103TC0700XPsychologistClinicalPSY21690CALIFORNIANo
4103TC0700XPsychologistClinicalPSY20775CALIFORNIAYes

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

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