Mission Psychological Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MISSION PSYCHOLOGICAL SERVICES, INC

Practice address

7465 Mission Gorge Rd Ste 150
San Diego, CA 92120-1301

Phone

(619) 900-1986

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Orbon, PHDNPI 1437678406

Title

Ceo

Phone

(619) 900-1986

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stephanie Orbon, PHD

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1437678406
  NPD Authorized official

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1205459948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7465 MISSION GORGE RD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201301",
            "telephone_number": "619-900-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7465 MISSION GORGE RD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201301",
            "telephone_number": "619-900-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "ORBON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-900-1986",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Medical Supply
• Mission Medical Transport
• Mission Occupational and Hand Therapy Services Apc
• Mission Palm's Transportation LLC
• Mission Pharmacy & Compounding, LTD
• Mission Surgical, Inc.
• Mission Treatment Services, Inc.
• Mission Valley Counseling Associates, Inc (Mission Valley Counseling Associates)
• Mission Valley Dental Arts
• Mission Valley Family Optometry

• 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 May 27, 2020; 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.