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DR. CATHERINE FITZSIMONS JERVEY PH.D. NPI 1194949370


NPI Information

NPI: 1194949370
Provider Name: DR. CATHERINE FITZSIMONS JERVEY, PH.D.
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3420 KENYON ST
SAN DIEGO, CA
ZIP 92110
Phone: (619) 221-6550
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DR. Catherine Fitzsimons Jervey, PH.D. is an addiction (substance use disorder) psychologist in San Diego, CA. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. DR. Catherine Fitzsimons Jervey, PH.D. NPI is 1194949370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3420 KENYON ST
SAN DIEGO, CA
ZIP 92110-001
Phone: (619) 221-6550

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/8/2007.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)PSY7427CALIFORNIAYes
2103TC0700XPsychologistClinicalPSY7427CALIFORNIAX

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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