New Mindful Life a Professional Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22284 Issued in CA

Legal business name

NEW MINDFUL LIFE A PROFESSIONAL PSYCHOLOGICAL CORPORATION

Practice address

2120 W Washington St Ste 101
San Diego, CA 92110-2054

Phone

(619) 261-8510

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Rochelle Diane Voth, PHDNPI 1114172152

Title

Officer

Phone

(619) 261-8510

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rochelle Diane Voth, P.H.D, B.C.B.A.

  • Psychologist
  • San Diego, CA
  • NPI 1114172152
  NPD (past) Authorized official

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1184989105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34494",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921634494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W WASHINGTON ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102054",
            "telephone_number": "619-261-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MINDFUL LIFE A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "VOTH",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "619-261-8510",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 15, 2013; 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.