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SAN DIEGO PSYCHOLOGICAL & EDUCATIONAL SERVICES INC NPI 1548520471


NPI Information

NPI: 1548520471
Provider Name: SAN DIEGO PSYCHOLOGICAL & EDUCATIONAL SERVICES INC

Doing Business As: NONE

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
13525 MIDLAND RD
SUITE J
POWAY, CA
ZIP 92064
Phone: (760) 789-7173
Get Directions

SAN DIEGO PSYCHOLOGICAL & EDUCATIONAL SERVICES INC is a clinical psychologist in Poway, 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. SAN DIEGO PSYCHOLOGICAL & EDUCATIONAL SERVICES INC NPI is 1548520471. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As None.

The provider's business location address is:

13525 MIDLAND RD
SUITE J
POWAY, CA
ZIP 92064-771
Phone: (760) 789-7173
Fax: (760) 230-1450

The provider's authorized official is Cyrus Nakhshab .
The authorized official title is Owner and has the following contact phone number (760) 519-2510.

The enumeration date for this NPI number is 5/25/2012 and was last updated on 5/25/2012.


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
1103TC0700XPsychologistClinicalPSY15959CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S74895MEDICARE UPINCALIFORNIA

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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