Deisy C. Boscan PH.D. Psychologist Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18873 Issued in CA

Legal business name

DEISY C. BOSCAN PH.D. PSYCHOLOGIST PROFESSIONAL CORPORATION

Practice address

7590 Fay Ave Ste 401
La Jolla, CA 92037-4872

Phone

(858) 263-4226

Fax

(858) 263-4206

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Deisy Cristina Boscan, PHDNPI 1184774325

Title

Owner

Phone

(858) 263-4226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Deisy Cristina Boscan, PH.D.

  • Clinical Psychologist
  • La Jolla, CA
  • NPI 1184774325
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1144770207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2583",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920382583",
            "telephone_number": "858-263-4226",
            "fax_number": "858-263-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 FAY AVE STE 401",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374872",
            "telephone_number": "858-263-4226",
            "fax_number": "858-263-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEISY C. BOSCAN PH.D. PSYCHOLOGIST PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "BOSCAN",
        "authorized_official_first_name": "DEISY",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-263-4226",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Deems, LAC.
• Hashim Nawaz Deen, M.D.
• Stephanie Ann Deflavio, PA
• Jesse Abraham Degani, MD
• Adam Christopher Deising, D.O.
• Sean Aaron Deitch, M.D.
• Joshua J Del Homme, PA
• Frederick James Delavega, MD
• Laura Michele Delcore, M.D.
• Danielle Delemos

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.