Individual provider Active NPI

Linda Innemee Breslin

  • School Psychologist
  • Chula Vista, CA
National Provider Identifier
1215410972
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
150201296 Issued in CA
Practice address
1055 Hunte Pkwy
Chula Vista, CA 91914-3622
Phone
(619) 397-5494
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 150201296 CA Primary

Addresses

Primary practice location

1055 Hunte Pkwy
Chula Vista, CA 91914-3622

Mailing address

12569 Taunt PL
Poway, CA 92064-3221

Other practice location 1

4300 Allen School Ln
Bonita, CA 91902-2309
Phone (619) 479-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150201296CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1215410972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12569 TAUNT PL",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HUNTE PKWY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143622",
            "telephone_number": "619-397-5494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Allen School Ln",
            "address_purpose": "LOCATION",
            "city": "Bonita",
            "state": "CA",
            "postal_code": "919022309",
            "country_code": "US",
            "telephone_number": "619-479-3662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESLIN",
        "first_name": "LINDA",
        "middle_name": "INNEMEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "150201296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.