Organization Active NPI

Talk Therapy Psychology Center, Corp.

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1013368141
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TALK THERAPY PSYCHOLOGY CENTER, CORP.
Practice address
5935 Cornerstone CT W
Suite 125
San Diego, CA 92121-3737
Phone
(858) 205-2490
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Seda Gragossian, PH.D.NPI 1548460835
Title
President
Phone
(858) 205-2490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5935 Cornerstone CT W
Suite 125
San Diego, CA 92121-3737

Mailing address

5935 Cornerstone CT W
Suite 125
San Diego, CA 92121-3737
Phone (858) 205-2490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161109002506 CA Part B Supplier - Clinic/Group Practice 9436438785 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA
O20231016001558 FL Part B Supplier - Clinic/Group Practice 9436438785 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

5935 Cornerstone Ct W
Ste 125
San Diego, CA 92121
Phone (858) 205-2490

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1013368141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 CORNERSTONE CT W",
            "address_2": "SUITE 125",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213737",
            "telephone_number": "858-205-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 CORNERSTONE CT W",
            "address_2": "SUITE 125",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213737",
            "telephone_number": "858-205-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALK THERAPY PSYCHOLOGY CENTER, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "GRAGOSSIAN",
        "authorized_official_first_name": "SEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-205-2490",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.