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SAN DIEGO WELLNESS AND RECOVERY NPI 1659794725


NPI Information

NPI: 1659794725
Provider Name: SAN DIEGO WELLNESS AND RECOVERY
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
5565 GROSSMONT CENTER DR STE 357
LA MESA, CA
ZIP 91942
Phone: (619) 851-2479
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SAN DIEGO WELLNESS AND RECOVERY is a clinical psychologist in La Mesa, 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 WELLNESS AND RECOVERY NPI is 1659794725. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5565 GROSSMONT CENTER DR STE 357
LA MESA, CA
ZIP 91942-027
Phone: (619) 851-2479

The provider's authorized official is Kristin Steele .
The authorized official title is Owner, Clinical Psychologist and has the following contact phone number (619) 851-2479.

The enumeration date for this NPI number is 1/27/2014 and was last updated on 1/27/2014.


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)26112CALIFORNIANo
2103TB0200XPsychologistCognitive & Behavioral26112CALIFORNIANo
3103TC2200XPsychologistClinical Child & Adolescent26112CALIFORNIANo
4103TF0000XPsychologistFamily26112CALIFORNIANo
5103TF0200XPsychologistForensic26112CALIFORNIANo
6103TP2701XPsychologistGroup Psychotherapy26112CALIFORNIANo
7103TR0400XPsychologistRehabilitation26112CALIFORNIANo
8103TC0700XPsychologistClinical26112CALIFORNIAYes

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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