Lighthouse Psychological Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10627 Issued in CA

Legal business name

LIGHTHOUSE PSYCHOLOGICAL SERVICES, INC

Practice address

2525 Camino del Rio S
Ste 315
San Diego, CA 92108-3717

Phone

(619) 347-3457

Fax

(619) 584-5644

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Jenkins, PH.D.NPI 1992849491

Title

Psychologist

Phone

(619) 347-3457

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Daniel Jenkins, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1992849491
  Authorized official Same address or phone

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1083758585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S",
            "address_2": "STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083717",
            "telephone_number": "619-347-3457",
            "fax_number": "619-584-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S",
            "address_2": "STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083717",
            "telephone_number": "619-347-3457",
            "fax_number": "619-584-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-347-3457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lightbridge Medical Associates, Inc.
• Catrissa Laverne Lightfoot-Siordia, M.D., MHA
• Christine Maria Lightfoot, MD
• Lighthouse Nutrition and Dietetics, LLC
• Lighthouse Psychological Services
• Lighthouse Treatment, Inc
• Mordecai Shalom Lightman, DDS
• Chloe Lightner, DC
• Karla Jean Lightner
• Angella Ligon, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.