Psychsandiego

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20775 Issued in CA

Legal business name

PSYCHSANDIEGO

Practice address

311 Laurel St
San Diego, CA 92101-1630

Phone

(858) 531-4960

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Justine Dykes

Title

Office Manager

Phone

(858) 531-4960

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1114245727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011630",
            "telephone_number": "858-531-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHSANDIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-531-4960"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20775",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19734",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21903",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychology Task Force Corp
• Psychosis Recovery Psychological Clinic Inc
• Psychotherapy Counseling (Therapeutic Counseling)
• Psychotherapy Health Solutions Inc (Healthier Life Therapy)
• Psychpro Consulting, PC
• Psyclarity Health San Diego, LLC
• PT First Physical Therapy PC
• PT in Motion
• PT Medical Consulting & Billing, LLC
• Sadell Ptomey

• 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 May 6, 2010; 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.