Individual provider Active NPI

Rachelle Louise Amini, PSY.D.., M.S.W.

  • Family Psychologist
  • El Cajon, CA
National Provider Identifier
1124139381
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
PSY 22086 Issued in CA
Practice address
1870 Cordell CT Ste 101
El Cajon, CA 92020-0915
Phone
(619) 448-9700
NPI assigned
Aug 31, 2006
Last updated
Aug 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X PSY 22086 CA Primary

Addresses

Primary practice location

1870 Cordell CT Ste 101
El Cajon, CA 92020-0915

Mailing address

850 Beech St Unit 1801
San Diego, CA 92101-0807
Phone (858) 610-1490

Other identifiers 1

IdentifierTypeStateIssuer
8299OtherCAUBH

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

State licenses

LicenseStateTypeSpecialty
PSY 22086CAMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Youth Services Past Accepting new patients
Strategy & Solution Family Therapy PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1124139381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BEECH ST UNIT 1801",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921010807",
            "telephone_number": "858-610-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 CORDELL CT STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920200915",
            "telephone_number": "619-448-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "RACHELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "PSY.D.., M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY 22086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "8299",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.