Individual provider Active NPI

David Waring Debus, PHD, LP

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1013024744
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6418 Issued in CA
Practice address
4540 Kearny Villa Rd Ste 103
San Diego, CA 92123-1564
Phone
(858) 279-1223
Fax
(858) 467-7161
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6418 CA Primary
Counseling Psychologist 103TC1900X 6418 CA

Addresses

Primary practice location

4540 Kearny Villa Rd Ste 103
San Diego, CA 92123-1564

Mailing address

4540 Kearny Villa Rd Ste 103
San Diego, CA 92123-1564
Phone (858) 279-1223

Other identifiers 1

IdentifierTypeStateIssuer
PSY6418MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000503 CA Practitioner - Clinical Psychologist 0648219048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

4540 Kearny Villa Rd
Suite 103
San Diego, CA 92123-1564
Phone (858) 279-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6418CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc Clinical CurrentSince Sep 13, 2023 Accepting new patients
Pacific Coast Psychiatric Associates Inc PastSince Feb 9, 2020 Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792

4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223

4540 Kearny Villa Rd
Ste 103
San Diego, CA 92123
Phone (858) 259-1223

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Interoperability endpoints

  • Direct secure messaging: psycareassociates.daviddebus@143255.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1013024744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 KEARNY VILLA RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231564",
            "telephone_number": "858-279-1223",
            "fax_number": "858-467-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 KEARNY VILLA RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231564",
            "telephone_number": "858-279-1223",
            "fax_number": "858-467-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBUS",
        "first_name": "DAVID",
        "middle_name": "WARING",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "6418",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "6418",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY6418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.