Organization Active NPI

Shibley Psychology, Corp.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1063976991
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SHIBLEY PSYCHOLOGY, CORP.
Practice address
2333 1St Ave Ste 107
San Diego, CA 92101-1538
Phone
(619) 307-9346
NPI assigned
Jan 24, 2019
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Mariela G Shibley, PSYDNPI 1114070992
Title
President
Phone
(619) 929-0256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

2333 1St Ave Ste 107
San Diego, CA 92101-1538

Mailing address

2333 1St Ave Ste 107
San Diego, CA 92101-1538
Phone (619) 307-9346

National Provider Directory

National Provider Directory

Locations

2333 1st Ave
Ste 107
San Diego, CA 92101
Phone (619) 307-9346

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1063976991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 1ST AVE STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011538",
            "telephone_number": "619-307-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 1ST AVE STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011538",
            "telephone_number": "619-307-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIBLEY PSYCHOLOGY, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "SHIBLEY",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-929-0256",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.