Bales Psychology Clinic
Organization Active NPI Clinical Psychologist · La Jolla, CA
NPI 1003663220 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1003663220
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- BALES PSYCHOLOGY CLINIC
- Practice address
- 3252 Holiday CT Ste 114
La Jolla, CA 92037-0027 - Phone
- (619) 380-0508
- NPI assigned
- May 6, 2024
- Organization subpart
- No
Authorized official
- Name
- Shamiron Bales, PH.D.
- Title
- Owner
- Phone
- (619) 599-6797
Practitioners 2
-
Shamiron Bales, PHD
-
Rachel Raver, PH.D.
National Provider Directory
Locations
3252 Holiday Ct
Ste 114
La Jolla, CA 92037
Phone (619) 380-0508
10455 Pomerado Rd
Ste 102
San Diego, CA 92131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Clinical Psychologist |
103TC0700X | Yes | ||
| Clinical Child & Adolescent Psychologist |
103TC2200X | |||
| Intellectual & Developmental Disabilities Psychologist |
103TM1800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
3252 Holiday CT Ste 114
La Jolla, CA 92037-0027
Mailing address
3252 Holiday CT Ste 114
La Jolla, CA 92037-0027
Phone (619) 380-0508
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962266973 | Other | CA | 103T00000X |
Other providers in La Jolla, CA
- Sydney Renee Baker
- Mathieu Fahim Bakhoum
- Baldrich Properties, LLC
- Brianna Jaramillo Baldwin
- Kathryn Helene Baldwin
- Shamiron Bales
- Noemi Beatrix Balinth
- Jill Anne Ballard
- Ayasha Jordyn Balouch
- Kasey Cheyenne Bamel
All providers in La Jolla, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.