Organization Active NPI

Within Sight Psychological and Integrated Solutions, Inc

  • Psychologist
  • San Diego, CA
National Provider Identifier
1215509898
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WITHIN SIGHT PSYCHOLOGICAL AND INTEGRATED SOLUTIONS, INC
Practice address
4907 Morena Blvd Ste 1416
San Diego, CA 92117-7393
Phone
(858) 366-7973
NPI assigned
Jul 14, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Candace Fanale, PH.D.NPI 1689907370
Title
Owner of Group
Phone
(858) 366-7973

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

4907 Morena Blvd Ste 1416
San Diego, CA 92117-7393

Mailing address

3960 W Point Loma Blvd Ste H56720
San Diego, CA 92110-5643

Other names 1

  • Within Sight Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

3960 W Point Loma Blvd
Ste H56720
San Diego, CA 92110

4907 Morena Blvd
Ste 1416
San Diego, CA 92117
Phone (858) 366-7973

712 S Center St
Reno, NV 89501
Phone (775) 657-9597

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1215509898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 W POINT LOMA BLVD STE H56720",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 MORENA BLVD STE 1416",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921177393",
            "telephone_number": "858-366-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHIN SIGHT PSYCHOLOGICAL AND INTEGRATED SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "FANALE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER OF GROUP",
        "authorized_official_telephone_number": "858-366-7973",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Within Sight Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 14, 2021; 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.