Individual provider Active NPI

Christopher Gerald Carstens, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1215924014
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 5654 Issued in CA
Practice address
9255 Towne Centre Dr
Suite 875
San Diego, CA 92121-3033
Phone
(858) 455-5252
Fax
(858) 455-5556
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5654 CA Primary

Addresses

Primary practice location

9255 Towne Centre Dr
Suite 875
San Diego, CA 92121-3033

Mailing address

9255 Towne Centre Dr
Suite 875
San Diego, CA 92121-3033
Phone (858) 455-5252

Other identifiers 1

IdentifierTypeStateIssuer
PSY 5654OtherCALICENSE

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 5654CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Neuropsychology Professional Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215924014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 TOWNE CENTRE DR",
            "address_2": "SUITE 875",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213033",
            "telephone_number": "858-455-5252",
            "fax_number": "858-455-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 TOWNE CENTRE DR",
            "address_2": "SUITE 875",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213033",
            "telephone_number": "858-455-5252",
            "fax_number": "858-455-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSTENS",
        "first_name": "CHRISTOPHER",
        "middle_name": "GERALD",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 5654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PSY 5654",
            "state": "CA"
        }
    ],
    "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 Jul 13, 2026; 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.