Tucker & Ko Psychological Services, Inc.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

TUCKER & KO PSYCHOLOGICAL SERVICES, INC.

Doing business as

Center for Couples & Self

Practice address

3455 Kearny Villa Rd
San Diego, CA 92123-1971

Phone

(213) 533-9851

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jeritt R Tucker, PHDNPI 1689068264

Title

Ceo/Psychologist

Phone

(213) 533-9851

Specialties & licenses 1

Addresses

Other names 1

• Center for Couples & Self Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeritt Ross Tucker, PHD

  • Counseling Psychologist
  • Los Angeles, CA
  • NPI 1689068264
  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1063142404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BROADWAY UNIT 401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015107",
            "telephone_number": "213-533-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 KEARNY VILLA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231971",
            "telephone_number": "213-533-9851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28655 630th Ave",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "IA",
            "postal_code": "502017400",
            "country_code": "US",
            "telephone_number": "515-291-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUCKER & KO PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JERITT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/PSYCHOLOGIST",
        "authorized_official_telephone_number": "213-533-9851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Couples & Self",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa Tucci, BCBA
• Morton Steven Tuchin, D.D.S.
• Leslie J Tuchman, M.D.
• Jordan Tucholski
• Sumali Tuchrello
• Brittanny Rene Tucker
• Dixie R Tucker, NP-C
• Haley B Tucker, OTR/L
• Kapreisha D Tucker
• Lanika Antoinette Tucker, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.