Active NPI
Nicole Catherine Muller, PH.D.
- Clinical Psychologist
- Escondido, CA
National Provider Identifier
1104139310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY32872
- Practice address
- 2700 Fieldbrook Way
Escondido, CA 92027-1889 - Phone
- (858) 859-0896
- NPI assigned
- Jul 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PSY32872 | CA | Primary |
Addresses
Primary practice location
2700 Fieldbrook Way
Escondido, CA 92027-1889
Mailing address
11956 Bernardo Plaza Dr # 402
San Diego, CA 92128-2538
Phone (858) 859-0896
Other names 1
- Miss Nicole Catherine Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY32872 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salubrious Therapy | Clinical | Current | Accepting new patients |
Locations
11956 Bernardo Plaza Dr
San Diego, CA 92128
Phone (760) 943-1567
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Escondido, CA
- NPI 1689375073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1104139310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11956 BERNARDO PLAZA DR # 402",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282538",
"telephone_number": "858-859-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 FIELDBROOK WAY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920271889",
"telephone_number": "858-859-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLER",
"first_name": "NICOLE",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY32872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "JOHNSON",
"middle_name": "CATHERINE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.