Active NPI
Renee A Joseph, PH.D.
- Clinical Psychologist
- Del Mar, CA
National Provider Identifier
1033701552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY35781
- Practice address
- 14750 El Camino Real
Del Mar, CA 92014-4204 - Phone
- (858) 904-1911
- NPI assigned
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Clinical Psychologist | 103TC0700X | PSY35781 | CA | Primary |
Addresses
Primary practice location
14750 El Camino Real
Del Mar, CA 92014-4204
Mailing address
PO Box 3173
San Diego, CA 92163-1173
Phone (347) 513-7261
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY35781 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients | |
| Community Research Foundation Inc | Clinical | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1598988180
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1033701552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3173",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921631173",
"telephone_number": "347-513-7261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14750 EL CAMINO REAL",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920144204",
"telephone_number": "858-904-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "RENEE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY35781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Del Mar, CA
- Jodie K. Schuller & Associates
- John E. Kohler O.D. Inc.
- Melinda Wendling Johnson, P.T.
- Joni Elizabeth Johnston, PSY.D.
- Joseph Watson,D.O.,a Professional Medical Corporation
- Carolyn Adele Josepho, MD
- Erin Judson, MA, CCC-SLP
- Juliet E Fliegel, MD
- Justin Mercer Dental Corporation
- Michael Melvin Kaback, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.