Deisy Cristina Boscan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

18873 Issued in CA

Practice address

7590 Fay Ave Ste 401
La Jolla, CA 92037-4872

Phone

(858) 263-4226

Fax

(858) 263-4206

NPI assigned

Jan 11, 2007

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

Credentials

Doctor of Philosophy

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.

• Deisy C. Boscan PH.D. Psychologist Professional Corporation

  • Clinical Psychologist
  • La Jolla, CA
  • NPI 1144770207
  Medicare reassignment NPD Authorized official
• San Diego Psychology Center

  dba Deisy Cristina Boscan, Ph.D. Psychologist, Professional Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1386086478
  NPD Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1184774325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2583",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920382583",
            "telephone_number": "866-284-2771",
            "fax_number": "800-334-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 FAY AVE STE 401",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374872",
            "telephone_number": "858-263-4226",
            "fax_number": "858-263-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCAN",
        "first_name": "DEISY",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "18873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Narges Borghei, NP
• Julie Bornhoeft, MS, RD
• Torie Borrelli Hall, NC
• Bettina Saikhon Borrelli
• Pascal Gabriel Bortz, M.D
• Lauren Anne Bosch, M.A.
• Pamela Davis Boswell, D.O.
• Abha M Bosworth, PA
• Deborah Bothun
• Gregory P Botta, M.D./PH.D.

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.