Professional and Personal Excellence International

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 17124 Issued in CA

Legal business name

PROFESSIONAL AND PERSONAL EXCELLENCE INTERNATIONAL

Practice address

3530 Camino del Rio N
Suite 103
San Diego, CA 92108-1743

Phone

(619) 991-0591

Fax

(858) 536-9637

NPI assigned

Sep 3, 2010

Last updated

Sep 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dolores I Rodriguez-Reimann, PH.D.NPI 1295836138

Title

President

Phone

(619) 991-0591

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 3

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.

• Dolores I Rodriguez-Reimann, PH.D.

  • Clinical Psychologist
  • Chula Vista, CA
  • NPI 1295836138
  NPD (past) Authorized official
• Ann Kathryn Carson, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1942251319
  NPD (past)
• Joachim Reimann, PH.D.

  • Clinical Psychologist
  • Chula Vista, CA
  • NPI 1154422087
  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1205143807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 CAMINO DEL RIO N",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081743",
            "telephone_number": "619-991-0591",
            "fax_number": "858-536-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 CAMINO DEL RIO N",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081743",
            "telephone_number": "619-991-0591",
            "fax_number": "858-536-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL AND PERSONAL EXCELLENCE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-REIMANN",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-991-0591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 17124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - JOACHIM REIMANN, PH.D.",
            "identifier": "1154422087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - DOLORES RODRIGUEZ-REIMANN, PH.D.",
            "identifier": "1295836138",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY171240",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY15825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Proctor
• Jacob Anderson Proctor, SFIDC
• Laura J Proctor, PHD
• Nicole Jolene Proctor, MSW
• Prodigy Medical Service Inc
• Professional Imaging Services, Inc. (Pro Imaging)
• Professional Management Services, Inc
• Professional Speech & Counseling Services Inc.
• Professional Surgicenter, Inc
• McKenzie Proffitt

• 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 Sep 3, 2010; 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.