Socal Child Psychology

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

SOCAL CHILD PSYCHOLOGY

Practice address

3252 Holiday CT Ste 220
La Jolla, CA 92037-1807

Phone

(619) 719-1940

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Carrie JacksonNPI 1225690043

Title

President

Phone

(803) 206-1550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Jackson

  • Clinical Child & Adolescent Psychologist
  • La Jolla, CA
  • NPI 1225690043
  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1235953746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 1/2 OREGON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 220",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371807",
            "telephone_number": "619-719-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL CHILD PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-206-1550"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Snyder, M.D.
• Janet Lee Snyder, R.D.
• Shannon Snyder, FNP
• So-Cal Providers Medical Group, Inc.
• David F. Sobel, M.D.
• Socal Foot Care PC
• Socal Homecare
• Maida V. Soghikian, M.D.
• Solace Psychological Services Inc
• Gloria Solano, RN CNS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.