Cynthia A. Cotter, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24404 Issued in CA

Practice address

12636 High Bluff Dr Ste 400
San Diego, CA 92130

Phone

(619) 992-4519

Fax

(866) 703-8346

NPI assigned

Aug 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Takos Psychology, PC

  • Psychologist
  • Newport Beach, CA
  • NPI 1285154450
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1033497300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12636 HIGH BLUFF DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302071",
            "telephone_number": "619-992-4519",
            "fax_number": "866-703-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12636 HIGH BLUFF DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92130",
            "telephone_number": "619-992-4519",
            "fax_number": "866-703-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12526 High Bluff Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921302064",
            "country_code": "US",
            "telephone_number": "619-992-4519",
            "fax_number": "866-703-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Baker Cotney, AUD
• Diana E Coto Meza
• Isabella Cotten
• Allison Elizabeth Cotter
• Bruno R. Cotter, M.D.
• Theresa Cotter
• Carla Ann Cottingham
• Nancy Eileen Cottingham, LCSW
• Julie Anne Cottle
• Jenna Cotton, L.AC

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.