Dr. Kelly Swain,Psychologist, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19196 Issued in CA

Legal business name

DR. KELLY SWAIN,PSYCHOLOGIST, INC

Practice address

2236 Encinitas Blvd Ste C
Encinitas, CA 92024-4375

Phone

(760) 944-6764

Fax

(760) 944-6764

NPI assigned

Dec 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelly Swain, PH.D.NPI 1548274939

Title

Psychologist

Phone

(760) 944-6764

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly A Swain, PSYD

  • Clinical Psychologist
  • Encinitas, CA
  • NPI 1548274939
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1003145616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 ENCINITAS BLVD STE C",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244375",
            "telephone_number": "760-944-6764",
            "fax_number": "760-944-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 ENCINITAS BLVD STE C",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244375",
            "telephone_number": "760-944-6764",
            "fax_number": "760-944-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KELLY SWAIN,PSYCHOLOGIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "760-944-6764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.