Active NPI
Teresa Ann Krall, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1134469562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY15851
- Practice address
- 1885 Diamond St
San Diego, CA 92109-3354 - Phone
- (619) 661-6500
- NPI assigned
- Feb 21, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY15851 | CA | Primary |
Addresses
Primary practice location
1885 Diamond St
San Diego, CA 92109-3354
Mailing address
1885 Diamond St
San Diego, CA 92109-3354
Phone (619) 661-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15851 | CA | MD | Clinical Psychologist |
| 18581 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memory Check Psychological Services, a Professional Corporation | Clinical | Current | Accepting new patients |
| A Mind Above, a Professional Psychology Corporation | Clinical | Past | Accepting new patients |
Locations
5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664
348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496
7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Carlsbad, CA
- NPI 1912184219
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1669039327
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1134469562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 DIAMOND ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093354",
"telephone_number": "619-661-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 DIAMOND ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093354",
"telephone_number": "619-661-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRALL",
"first_name": "TERESA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.