Active NPI
Rodger Stacy Questin, PHD
- Psychologist
- San Diego, CA
National Provider Identifier
1003246364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 31181
- Practice address
- 3702 4TH Ave
San Diego, CA 92103-4203 - Phone
- (760) 607-7257
- NPI assigned
- Nov 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31181 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | 31181 | CA | Primary |
Addresses
Primary practice location
3702 4TH Ave
San Diego, CA 92103-4203
Mailing address
3702 4TH Ave
San Diego, CA 92103-4203
Other practice location 1
1625 Schrader Blvd
Los Angeles, CA 90028-6213
Phone (323) 993-7480
Other practice location 2
3534 5th Ave Unit 724
San Diego, CA 92103-5017
Phone (310) 351-6113
Other practice location 3
440 Upas St Apt 402
San Diego, CA 92103-4919
Phone (310) 351-6113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01261511 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31181 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodger Stacy Questin, Psychologist P.C. | Psychologist | Current | Accepting new patients |
| Circadian Psychological Services Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- San Diego, CA
- NPI 1154964567
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1487119749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574553600000",
"number": "1003246364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034203",
"telephone_number": "760-607-7257"
}
],
"practiceLocations": [
{
"address_1": "1625 Schrader Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900286213",
"country_code": "US",
"telephone_number": "323-993-7480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3534 5th Ave Unit 724",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921035017",
"country_code": "US",
"telephone_number": "310-351-6113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "440 Upas St Apt 402",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921034919",
"country_code": "US",
"telephone_number": "310-351-6113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUESTIN",
"first_name": "RODGER",
"middle_name": "STACY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-22",
"last_updated": "2019-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "31181",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "31181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01261511",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.