Organization Active NPI

SD Psychological Services, Inc.

  • Clinical Psychologist
  • Santee, CA
National Provider Identifier
1154624781
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 21878 Issued in CA
Legal business name
SD PSYCHOLOGICAL SERVICES, INC.
Practice address
10769 Woodside Ave Ste 205
Santee, CA 92071-3175
Phone
(619) 448-1216
Fax
(888) 291-4799
NPI assigned
Dec 21, 2010
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Christiana K Silva, PH.D.NPI 1598955072
Title
President
Phone
(619) 415-7639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 21878 CA Primary

Addresses

Primary practice location

10769 Woodside Ave Ste 205
Santee, CA 92071-3175

Mailing address

10769 Woodside Ave Ste 205
Santee, CA 92071-3175
Phone (619) 448-1216

National Provider Directory

National Provider Directory

Locations

2271 Alpine Blvd
Ste A
Alpine, CA 91901
Phone (619) 289-7322

10769 Woodside Ave
Ste 205
Santee, CA 92071
Phone (619) 448-1216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1154624781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10769 WOODSIDE AVE STE 205",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713175",
            "telephone_number": "619-448-1216",
            "fax_number": "888-291-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10769 WOODSIDE AVE STE 205",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713175",
            "telephone_number": "619-448-1216",
            "fax_number": "888-291-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-415-7639",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 21878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.