Organization Active NPI

Specialty Behavioral Health, Inc.

  • Clinical Psychologist
  • La Jolla, CA
National Provider Identifier
1235433145
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18893 Issued in CA
Legal business name
SPECIALTY BEHAVIORAL HEALTH, INC.
Practice address
3262 Holiday CT
La Jolla, CA 92037-0026
Phone
(858) 752-3520
Fax
(858) 452-6700
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
James Carter, PH.D.NPI 1831184183
Title
President
Phone
(858) 752-3520

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY18893 CA Primary

Addresses

Primary practice location

3262 Holiday CT
La Jolla, CA 92037-0026

Mailing address

3262 Holiday CT
La Jolla, CA 92037-0026
Phone (858) 752-3520

National Provider Directory

National Provider Directory

Locations

3262 Holiday Ct
La Jolla, CA 92037
Phone (858) 452-5747

3262 Holiday Ct
Ste 208
La Jolla, CA 92037
Phone (858) 254-6350

Practitioners & affiliated clinicians

Practitioners 2

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": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1235433145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 HOLIDAY CT",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370026",
            "telephone_number": "858-752-3520",
            "fax_number": "858-452-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 HOLIDAY CT",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370026",
            "telephone_number": "858-752-3520",
            "fax_number": "858-452-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-752-3520",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.