Dr Klein Psychological Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003257 Issued in CT

Legal business name

DR KLEIN PSYCHOLOGICAL SERVICES, INC

Practice address

731 S Highway 101
Suite 1-E
Solana Beach, CA 92075-2629

Phone

(619) 244-0336

Fax

(858) 925-8035

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lucas Adam Klein, PH.D.

Title

President/Licensed Psychologist

Phone

(619) 244-0336

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1154767515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S HIGHWAY 101",
            "address_2": "SUITE 1-E",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752628",
            "telephone_number": "619-244-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S HIGHWAY 101",
            "address_2": "SUITE 1-E",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752629",
            "telephone_number": "619-244-0336",
            "fax_number": "858-925-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KLEIN PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-244-0336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PSYCHOLOGY LICENSE",
            "identifier": "019804",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PSYCHOLOGY LICENSE",
            "identifier": "25861",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT PSYCHOLOGY LICENSE",
            "identifier": "003257",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.