Organization Active NPI

Accurate Assessments of San Diego

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1083906408
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18811 Issued in CA
Legal business name
ACCURATE ASSESSMENTS OF SAN DIEGO
Practice address
12625 High Bluff Dr Ste 104
San Diego, CA 92130-2053
Phone
(858) 208-9689
Fax
(858) 793-1124
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Carrie Jaffe, PHDNPI 1083732770
Title
Director/Owner
Phone
(858) 208-9689

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 PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY18811 CA Primary

Addresses

Primary practice location

12625 High Bluff Dr Ste 104
San Diego, CA 92130-2053

Mailing address

12625 High Bluff Dr Ste 104
San Diego, CA 92130-2053
Phone (858) 208-9689

National Provider Directory

National Provider Directory

Locations

12625 High Bluff Dr
Ste 104
San Diego, CA 92130
Phone (858) 208-9689

Practitioners & affiliated clinicians

Practitioners 1

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": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1083906408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "858-208-9689",
            "fax_number": "858-793-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "858-208-9689",
            "fax_number": "858-793-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURATE ASSESSMENTS OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "858-208-9689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18811",
            "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 May 3, 2011; 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.