Organization Active NPI

Jeffrey Schmidt PHD Psychologist Inc

  • Clinical Psychologist
  • La Mesa, CA
National Provider Identifier
1174781389
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20529 Issued in CA
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

Updated by the provider on Apr 29, 2009

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.