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SAN DIEGO FAMILY SERVICES NPI 1720101082


NPI Information

NPI: 1720101082
Provider Name: SAN DIEGO FAMILY SERVICES
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1104 CAMINO DEL MAR
SUITE 107
DEL MAR, CA
ZIP 92014
Phone: (877) 880-7337
Get Directions

SAN DIEGO FAMILY SERVICES is a clinical psychologist in Del Mar, 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 FAMILY SERVICES NPI is 1720101082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1104 CAMINO DEL MAR
SUITE 107
DEL MAR, CA
ZIP 92014-656
Phone: (877) 880-7337
Fax: (858) 923-1121

The provider's authorized official is Christy Wise .
The authorized official title is Director and has the following contact phone number (877) 880-7337.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 1/17/2012.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)No
2103TC2200XPsychologistClinical Child & AdolescentNo
3103TB0200XPsychologistCognitive & BehavioralNo
4103TC1900XPsychologistCounselingNo
5103TE1100XPsychologistExercise & SportsNo
6103TF0000XPsychologistFamilyNo
7103TF0200XPsychologistForensicNo
8103TP2701XPsychologistGroup PsychotherapyNo
9103TC0700XPsychologistClinicalYes

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
1DB787AMEDICARE UPIN

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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