NPIMap

Organization Active NPI

The Halliday Center for Psychotherapy and Wellness, Inc.

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1164848958
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE HALLIDAY CENTER FOR PSYCHOTHERAPY AND WELLNESS, INC.
Practice address
355 Santa Fe Dr
Suite 200
Encinitas, CA 92024-5152
Phone
(760) 635-3310
Fax
(760) 452-7525
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Debra Halliday, PSY.D, CGPNPI 1336385327
Title
President
Phone
(760) 635-3310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

355 Santa Fe Dr
Suite 200
Encinitas, CA 92024-5152

Mailing address

PO Box 895
Cardiff by the Sea, CA 92007-0895
Phone (760) 635-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140610002172 CA Part B Supplier - Clinic/Group Practice 3375767437 Receives reassigned benefits from 12 practitioners
Practice locations: Encinitas, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

355 Santa Fe Dr
Ste 200
Encinitas, CA 92024
Phone (760) 473-3235

12625 High Bluff Dr
Ste 216
San Diego, CA 92130
Phone (619) 952-5321

12625 High Bluff Dr
San Diego, CA 92130
Phone (818) 634-6491

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1164848958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920070895",
            "telephone_number": "760-635-3310",
            "fax_number": "760-452-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 SANTA FE DR",
            "address_2": "SUITE 200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245152",
            "telephone_number": "760-635-3310",
            "fax_number": "760-452-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HALLIDAY CENTER FOR PSYCHOTHERAPY AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-635-3310",
        "authorized_official_credential": "PSY.D, CGP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.