Individual provider Active NPI

Caitlin Ferriter, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1215134937
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 25124 Issued in CA
Practice address
VA San Diego
3350 La Jolla Village Dr.
San Diego, CA 92161-0001
Phone
(617) 290-9904
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 25124 CA Primary

Addresses

Primary practice location

VA San Diego
3350 La Jolla Village Dr.
San Diego, CA 92161-0001

Mailing address

8685 Rio San Diego Dr
Apt 4209
San Diego, CA 92108-6551
Phone (617) 290-9904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 1, 2024 through Aug 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 25124CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1215134937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8685 RIO SAN DIEGO DR",
            "address_2": "APT 4209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086551",
            "telephone_number": "617-290-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA SAN DIEGO",
            "address_2": "3350 LA JOLLA VILLAGE DR.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610001",
            "telephone_number": "617-290-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRITER",
        "first_name": "CAITLIN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.