Active NPI
Farah Giovannelli, PSYD
- Clinical Psychologist
- La Jolla, CA
National Provider Identifier
1033566641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32032
- Practice address
- 3252 Holiday CT Ste 201
La Jolla, CA 92037-1808 - Phone
- (619) 354-7400
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32032 | CA | Primary |
Addresses
Primary practice location
3252 Holiday CT Ste 201
La Jolla, CA 92037-1808
Mailing address
106 Thorn St
San Diego, CA 92103-5629
Other practice location 1
545 Laurel St
San Diego, CA 92101-1634
Phone (619) 223-4399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1033566641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 THORN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3252 HOLIDAY CT STE 201",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371808",
"telephone_number": "619-354-7400"
}
],
"practiceLocations": [
{
"address_1": "545 Laurel St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921011634",
"country_code": "US",
"telephone_number": "619-223-4399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIOVANNELLI",
"first_name": "FARAH",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2020-09-07",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.