Organization Active NPI

San Diego Institute of Psychotherapy Corp

  • Psychologist
  • Cardiff by the Sea, CA
National Provider Identifier
1043061047
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SAN DIEGO INSTITUTE OF PSYCHOTHERAPY CORP
Practice address
2187 Newcastle Ave Ste 103
Cardiff by the Sea, CA 92007-1848
Phone
(310) 508-7323
NPI assigned
Mar 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Dr. Ann White, PSYD
Title
Executive Director, Owner
Phone
(310) 508-7323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2187 Newcastle Ave Ste 103
Cardiff by the Sea, CA 92007-1848

Mailing address

33088 Beige St
Winchester, CA 92596-1754

Other names 1

  • San Diego Institute of Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2187 Newcastle Ave
Ste 103
Cardiff by the Sea, CA 92007
Phone (310) 508-7323

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": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1043061047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33088 BEIGE ST",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925961754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 NEWCASTLE AVE STE 103",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071848",
            "telephone_number": "310-508-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO INSTITUTE OF PSYCHOTHERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, OWNER",
        "authorized_official_telephone_number": "310-508-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Institute of Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cardiff by the Sea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.