Elizabeth Kristin Stanton, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

31373 Issued in CA

Practice address

3910 Chapman St Ste I
San Diego, CA 92110-5644

Phone

(619) 507-7329

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Total Life Ca, P.C.

  • Cognitive & Behavioral Psychologist
  • Los Angeles, CA
  • NPI 1689389603
  Medicare reassignment NPD
• Stanton Psychological Solutions Apc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1114750759
  NPD Authorized official

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1164066072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83063",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921383063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CHAPMAN ST STE I",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105644",
            "telephone_number": "619-507-7329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Hotel Cir N Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921082818",
            "country_code": "US",
            "telephone_number": "619-507-7329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "ELIZABETH",
        "middle_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Stanley
• Virginia Ruth Stanley
• Brian Stannard, CADC II
• Stanton Psychological Solutions Apc
• Alexander Stanton, DDS
• Kristen Stanton, AUD
• Lydia Beth Stanton, LCSW
• Mark Paul Stanton, MD
• Lillian Stanwick
• Braden Andrew Stanyer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.