Active NPI
Richard Feltman, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1265499412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY9754
- Practice address
- 2423 Camino del Rio S
Ste 207
San Diego, CA 92108-3735 - Phone
- (858) 576-3855
- Fax
- (858) 576-3855
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY9754 | CA | Primary |
Addresses
Primary practice location
2423 Camino del Rio S
Ste 207
San Diego, CA 92108-3735
Mailing address
PO Box 16374
San Diego, CA 92176-6374
Phone (858) 576-3855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY097540 | Other | CA | MEDI-CAL |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY9754 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1265499412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16374",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921766374",
"telephone_number": "858-576-3855",
"fax_number": "858-576-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 CAMINO DEL RIO S",
"address_2": "STE 207",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083735",
"telephone_number": "858-576-3855",
"fax_number": "858-576-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELTMAN",
"first_name": "RICHARD",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY9754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "PSY097540",
"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 Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.