Organization Active NPI

Annette Conway Psychology, PC

  • Clinical Psychologist
  • Solana Beach, CA
National Provider Identifier
1083959092
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19997 Issued in CA
Legal business name
ANNETTE CONWAY PSYCHOLOGY, PC
Practice address
227 Turf View Dr
Suite 400
Solana Beach, CA 92075
Phone
(858) 342-0948
Fax
(858) 481-8281
NPI assigned
Dec 2, 2012
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Dr. Annette Conway, PSY.D.NPI 1003852120
Title
President
Phone
(858) 342-0948

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 PSY19997 CA Primary

Addresses

Primary practice location

227 Turf View Dr
Suite 400
Solana Beach, CA 92075

Mailing address

3636 4TH Ave Ste 304
San Diego, CA 92103-4294
Phone (858) 342-0948

Other names 1

  • H.E.L.P. Home-based Effective Living Professionals Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130326000089 CA Part B Supplier - Clinic/Group Practice 3274778188 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1354406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1083959092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 4TH AVE STE 304",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034294",
            "telephone_number": "858-342-0948",
            "fax_number": "858-481-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 TURF VIEW DR",
            "address_2": "SUITE 400",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "92075",
            "telephone_number": "858-342-0948",
            "fax_number": "858-481-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE CONWAY PSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-02",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-342-0948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H.E.L.P. Home-based Effective Living Professionals",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "H.E.L.P. Home-based Effective Living Professionals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.