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COLLECTIVE CONSCIOUSNESS OF NEW AGE NATIVE AMERICANS NPI 1912662313


NPI Information

NPI: 1912662313
Provider Name: COLLECTIVE CONSCIOUSNESS OF NEW AGE NATIVE AMERICANS
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
3860 MURPHY CANYON RD STE 103
SAN DIEGO, CA
ZIP 92123
Phone: (619) 738-4017
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COLLECTIVE CONSCIOUSNESS OF NEW AGE NATIVE AMERICANS is a cognitive and behavioral psychologist in San Diego, CA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. COLLECTIVE CONSCIOUSNESS OF NEW AGE NATIVE AMERICANS NPI is 1912662313. The provider is registered as an organization entity type.

The provider's business location address is:

3860 MURPHY CANYON RD STE 103
SAN DIEGO, CA
ZIP 92123-403
Phone: (619) 738-4017

The provider's authorized official is Tasheda Leonard-hayselden .
The authorized official title is Chief and has the following contact phone number (619) 738-4017.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 11/1/2021.


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
1284300000XSpecial HospitalNo
2146D00000XPersonal Emergency Response AttendantNo
3174200000XMealsNo
4177F00000XLodgingNo
5202C00000XIndependent Medical ExaminerNo
6251300000XLocal Education Agency (LEA)No
7251B00000XCase ManagementNo
8251K00000XPublic Health or WelfareNo
9251X00000XSupports BrokerageNo
10252Y00000XEarly Intervention Provider AgencyNo
11253J00000XFoster Care AgencyNo
12253Z00000XIn Home Supportive CareNo
13261QG0250XClinic/CenterGeneticsNo
14332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyNo
15103TB0200XPsychologistCognitive & BehavioralYes

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
10091733OTHERCALIFORNIAWOLLCARE COMMUNITY HEALTH NETWORK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.