Individual provider Active NPI

Arnold S Presley, PSY.D.

  • Clinical Psychologist
  • Santee, CA
National Provider Identifier
1205017688
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23795 Issued in CA
Practice address
9745 Prospect Ave Ste 202
Santee, CA 92071-4294
Phone
(619) 456-4822
Fax
(619) 456-4825
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P0000002664 TN
Clinical Psychologist 103TC0700X PSY23795 CA Primary

Addresses

Primary practice location

9745 Prospect Ave Ste 202
Santee, CA 92071-4294

Mailing address

10140 Strathmore Dr
Santee, CA 92071-1039
Phone (619) 277-8051

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120712000803 CA Practitioner - Clinical Psychologist 7012172232 Practice locations: Santee, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0000002664TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Arnold Scott Presley, Psy.D. Clinical CurrentSince Jan 1, 2015 Accepting new patients

Locations

1977 N Marshall Ave
Ste 101
El Cajon, CA 92020
Phone (619) 277-8051

9745 Prospect Ave
Ste 202
Santee, CA 92071
Phone (619) 456-4822

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.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205017688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 STRATHMORE DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711039",
            "telephone_number": "619-277-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 PROSPECT AVE STE 202",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714294",
            "telephone_number": "619-456-4822",
            "fax_number": "619-456-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "ARNOLD",
        "middle_name": "S",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000002664",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.