Restore Psychology a Professional Corporation

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

RESTORE PSYCHOLOGY A PROFESSIONAL CORPORATION

Doing business as

Restore Psychology

Practice address

5920 Friars Rd Ste 208
San Diego, CA 92108-1078

Phone

(337) 517-7130

Fax

(573) 503-0122

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Jacob Ambrose, PHDNPI 1588149017

Title

President

Phone

(337) 517-7130

Specialties & licenses 1

Addresses

Other names 1

• Restore Psychology Doing business as

Practitioners 1

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

• Jacob J Ambrose

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1588149017
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739664000000",
    "number": "1154176295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 FRIARS RD STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081078",
            "telephone_number": "337-517-7130",
            "fax_number": "573-503-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 FRIARS RD STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081078",
            "telephone_number": "337-517-7130",
            "fax_number": "573-503-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PSYCHOLOGY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-517-7130",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clifton Robert Rester, LVN
• Julie Sothary Van Restis, MPH, RN, FNP
• Restoration Physical Therapy
• Restore Hand and Scar Therapy
• Restore Pelvic Health & Wellness
• Restore SD Plastic Surgery
• Restore Within Therapy, a Professional Marriage and Family Therapy Corporation
• Restoring Synergy LLC
• Aura Maria Restrepo
• Valeria Lizette Restrepo

• Counseling Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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.