Max Ian Doshay, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30896 Issued in CA

Practice address

5405 Morehouse Dr Ste 330
San Diego, CA 92121-4786

Phone

(858) 922-4946

NPI assigned

Sep 12, 2013

Last updated

Apr 30, 2019By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Element Q Healing LLC

  • Adult Mental Health Clinic/Center
  • San Diego, CA
  • NPI 1679367163
  NPD Authorized official
• KMN Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1922864032
  NPD Authorized official
• Monima Wellness Center LLC

  • Adult Mental Health Clinic/Center
  • San Diego, CA
  • NPI 1295449064
  NPD Authorized official
• Community Research Foundation Inc

  dba Hawthorne Crisis Center

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1225251812
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700

  Clinical

  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1174958920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 MOREHOUSE DR STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MOREHOUSE DR STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214786",
            "telephone_number": "858-922-4946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Laurel St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921011634",
            "country_code": "US",
            "telephone_number": "619-233-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSHAY",
        "first_name": "MAX",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Dos Santos
• Brazille Dos Santos
• Edgardo Daniel Dos Santos
• Kimberley Joan Dosch, PT
• Dose Body & Home, L.L.C.
• Ami Praful Doshi, M.D.
• Amol Narendra Doshi, MD
• Ashmi Doshi, M.D
• Sona Doshi
• Vanessa Dosoo, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.