Active NPI
Jeffrey Schmidt PHD Psychologist Inc
- Clinical Psychologist
- La Mesa, CA
National Provider Identifier
1174781389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY20529
- Legal business name
- JEFFREY SCHMIDT PHD PSYCHOLOGIST INC
- Practice address
- 4700 Spring St
Suite 204
La Mesa, CA 91941-5263 - Phone
- (619) 667-0171
- NPI assigned
- May 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey James Schmidt, PHD
- Title
- President
- Phone
- (619) 523-8106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20529 | CA | Primary |
Addresses
Primary practice location
4700 Spring St
Suite 204
La Mesa, CA 91941-5263
Mailing address
8390 Morning Mist CT
San Diego, CA 92119-1355
Phone (619) 523-8106
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240963200000",
"number": "1174781389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 MORNING MIST CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921191355",
"telephone_number": "619-523-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SPRING ST",
"address_2": "SUITE 204",
"city": "LA MESA",
"state": "CA",
"postal_code": "919415263",
"telephone_number": "619-667-0171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY SCHMIDT PHD PSYCHOLOGIST INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-26",
"last_updated": "2009-04-29",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-523-8106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.