NPIMap

Organization Active NPI

Collins Psychological Therapy & Consulting Inc.

  • Psychologist
  • San Diego, CA
National Provider Identifier
1215175179
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 16251 Issued in CA
Legal business name
COLLINS PSYCHOLOGICAL THERAPY & CONSULTING INC.
Practice address
3707 3Rd Ave
San Diego, CA 92103-4111
Phone
(619) 296-7757
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Linda Louise Collins, PH.D.NPI 1669693800
Title
President
Phone
(619) 296-7757

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY 16251 CA Primary

Addresses

Primary practice location

3707 3Rd Ave
San Diego, CA 92103-4111

Mailing address

3707 3Rd Ave
San Diego, CA 92103-4111
Phone (619) 296-7757

National Provider Directory

National Provider Directory

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": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1215175179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034111",
            "telephone_number": "619-296-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034111",
            "telephone_number": "619-296-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS PSYCHOLOGICAL THERAPY & CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-296-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 16251",
            "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 Jan 30, 2009; 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.