Dean Thomas Acheson, PH.D. – Clinical Psychologist

Key facts

NPI: 1265790083
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: PSY23779 (CA)
Practice address: 5060 Shoreham PL
200
San Diego, CA 92122-5903
Phone: (858) 334-4640
NPI assigned: Apr 30, 2012
Sex: Male
Sole proprietor: No

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.

Regents of the University of California Ucsd Head and Neck Surgery Otolaryngology Physician · San Diego, CA · NPI 1679509962

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
23779	CA	MD	Addiction (Substance Use Disorder) Counselor
PSY23779	CA	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Regents of the University of California Ucsd Head and Neck Surgery		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	PSY23779	CA	Yes

Addresses

Primary practice location

5060 Shoreham PL
200
San Diego, CA 92122-5903

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (858) 249-6748

Other providers in San Diego, CA

All providers in San Diego, CA · Clinical Psychologist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.