SD Psychology, a Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SD PSYCHOLOGY, A PROFESSIONAL CORPORATION

Practice address

7946 Ivanhoe Ave Ste 310
La Jolla, CA 92037-4518

Phone

(619) 894-1507

Fax

(858) 346-9189

NPI assigned

Jul 9, 2021

Organization subpart

No

Name

Dr. Stamatia Daroglou, PH.D.NPI 1205179322

Title

President/ Psychologist

Phone

(619) 894-1507

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stamatia Daroglou, PH.D.

  • Clinical Psychologist
  • La Jolla, CA
  • NPI 1205179322

  CA, Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Casey Adamson

  • Psychologist
  • San Diego, CA
  • NPI 1447741301

  CA

  Medicare reassignment Care Compare group NPD
• Ivy Kensinger, PSYD

  • Psychologist
  • La Jolla, CA
  • NPI 1386053072
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CA

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2021.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1124699236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1521",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920381521",
            "telephone_number": "619-894-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 IVANHOE AVE STE 310",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374518",
            "telephone_number": "619-894-1507",
            "fax_number": "858-346-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD PSYCHOLOGY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "DAROGLOU",
        "authorized_official_first_name": "STAMATIA",
        "authorized_official_title_or_position": "PRESIDENT/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-894-1507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1205179322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scripps Health
• Scripps Health Green Ambulatory Pharmacy
• Scripps Health Inpatient Providers Medical Group Inc.
• Scripps Plastic Surgery Medical Group Inc
• Scripps Surgery Center, LLC
• SDPM Medical Group, Incorporated
• Stephen L. Seagren, M.D.
• Laurel Seaholm, L.AC., DIPL. O.M.
• Mary Susan Seaman, NP
• Sean Ryan, M.D., a Professional Corporation

• All providers in La Jolla, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.