Sachiko Sweetwood, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30279 Issued in CA

Practice address

3252 Holiday CT Ste 201
La Jolla, CA 92037-1808

Phone

(858) 534-3755

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 1, 2023 through May 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235668963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 THORN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 201",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371808",
            "telephone_number": "858-534-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETWOOD",
        "first_name": "SACHIKO",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Swan, PA
• Steven Swanson, PA-C
• Erin Swartz, NP
• Nathaly Maria Coromoto Sweeney, M.D.
• Susan E Sweeney, M.D. PH.D
• F. Craig Swenson, M.D.
• Neal Robert Swerdlow, M.D., PH.D.
• Heather K Swisher
• Lukasz Swistun, M.D.
• Jamie Lynn Switzer, DO

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.