Organization Active NPI

Jeff Schanowitz PHD Inc

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1205339389
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20362 Issued in CA
Legal business name
JEFF SCHANOWITZ PHD INC
Practice address
3914 Murphy Canyon Rd Ste A205
San Diego, CA 92123-4423
Phone
(619) 252-3713
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Jeff SchanowitzNPI 1679683007
Title
Director
Phone
(619) 252-3713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY20362 CA Primary

Addresses

Primary practice location

3914 Murphy Canyon Rd Ste A205
San Diego, CA 92123-4423

Mailing address

3914 Murphy Canyon Rd Ste A205
San Diego, CA 92123-4423
Phone (619) 252-3713

National Provider Directory

National Provider Directory

Locations

3914 Murphy Canyon Rd
Ste A205
San Diego, CA 92123
Phone (619) 252-3713

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1205339389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 MURPHY CANYON RD STE A205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234423",
            "telephone_number": "619-252-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 MURPHY CANYON RD STE A205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234423",
            "telephone_number": "619-252-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF SCHANOWITZ PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "SCHANOWITZ",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-252-3713"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20362",
            "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 Jul 12, 2024; 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.