Active NPI
Terra Lee Towne, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1194376145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31211
- Practice address
- 4510 Executive Dr Ste 315
San Diego, CA 92121-3029 - Phone
- (858) 534-8019
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31211 | CA | Primary |
Addresses
Primary practice location
4510 Executive Dr Ste 315
San Diego, CA 92121-3029
Mailing address
7693 Palmilla Dr Apt 2421
San Diego, CA 92122-5088
Phone (315) 778-8028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1194376145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7693 PALMILLA DR APT 2421",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921225088",
"telephone_number": "315-778-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR STE 315",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213029",
"telephone_number": "858-534-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNE",
"first_name": "TERRA",
"middle_name": "LEE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "31211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.