Organization Active NPI

Dynamic Pathways Psychology Inc

  • Psychologist
  • San Diego, CA
National Provider Identifier
1083494629
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DYNAMIC PATHWAYS PSYCHOLOGY INC
Practice address
2635 Camino del Rio S Ste 303
San Diego, CA 92108-3729
Phone
(619) 635-2634
Fax
(619) 632-5001
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Dr. Matthew Seitman, PSYDNPI 1356742993
Title
Owner/President
Phone
(619) 635-2634

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2635 Camino del Rio S Ste 303
San Diego, CA 92108-3729

Mailing address

5557 Forbes Ave
San Diego, CA 92120-1803
Phone (619) 635-2634

National Provider Directory

National Provider Directory

Locations

2635 Camino del Rio S
Ste 303
San Diego, CA 92108
Phone (619) 635-2634

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": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1083494629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 FORBES AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201803",
            "telephone_number": "619-635-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 CAMINO DEL RIO S STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083729",
            "telephone_number": "619-635-2634",
            "fax_number": "619-632-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PATHWAYS PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "SEITMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "619-635-2634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "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 Mar 22, 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.