Active NPI
Caroline Scott Depottel, PHD LCSW
- Psychoanalysis Psychologist
- San Diego, CA
National Provider Identifier
1194945212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- LCS10997
- Practice address
- 5190 Governor Dr
Ste 102
San Diego, CA 92122-2848 - Phone
- (858) 455-0278
- Fax
- (858) 452-5729
- NPI assigned
- Apr 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | LCS10997 | CA | Primary |
| Social Worker | 104100000X | LCS10997 | CA |
Addresses
Primary practice location
5190 Governor Dr
Ste 102
San Diego, CA 92122-2848
Mailing address
5190 Governor Dr
Ste 102
San Diego, CA 92122-2848
Phone (858) 455-0278
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS10997 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Jolla Psychiatric Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- San Diego, CA
- NPI 1720013170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1194945212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5190 GOVERNOR DR",
"address_2": "STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222848",
"telephone_number": "858-455-0278",
"fax_number": "858-452-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 GOVERNOR DR",
"address_2": "STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222848",
"telephone_number": "858-455-0278",
"fax_number": "858-452-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPOTTEL",
"first_name": "CAROLINE",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PHD LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "CA",
"license": "LCS10997",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS10997",
"primary": false
}
],
"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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.