Organization Active NPI

Lori J. Magnusson, PH.D.,Apc

  • Clinical Psychologist
  • Vista, CA
National Provider Identifier
1013938190
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8568 Issued in CA
Legal business name
LORI J. MAGNUSSON, PH.D.,APC
Practice address
550 W Vista Way Ste 105
Vista, CA 92083-5735
Phone
(760) 634-6643
Fax
(760) 634-6643
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Dr. Lori Magnusson, PH.D.NPI 1467563767
Title
President
Phone
(760) 634-6643

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY8568 CA Primary

Addresses

Primary practice location

550 W Vista Way Ste 105
Vista, CA 92083-5735

Mailing address

550 W Vista Way Ste 105
Vista, CA 92083-5735
Phone (760) 634-6643

National Provider Directory

National Provider Directory

Locations

550 W Vista Way
Ste 105
Vista, CA 92083
Phone (760) 634-6643

Practitioners & affiliated clinicians

Practitioners 1

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1013938190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W VISTA WAY STE 105",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835735",
            "telephone_number": "760-634-6643",
            "fax_number": "760-726-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W VISTA WAY STE 105",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835735",
            "telephone_number": "760-634-6643",
            "fax_number": "760-634-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI J. MAGNUSSON, PH.D.,APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "MAGNUSSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-634-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.