Individual provider Active NPI

Gregory J. Carinci, PSY.D.

  • Psychologist
  • San Diego, CA
National Provider Identifier
1285872895
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 22311 Issued in CA
Practice address
591 Camino de la Reina Ste 821
San Diego, CA 92108-3110
Phone
(858) 414-6830
NPI assigned
Feb 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1084607 CA
Psychologist 103T00000X PSY 22311 CA Primary

Addresses

Primary practice location

591 Camino de la Reina Ste 821
San Diego, CA 92108-3110

Mailing address

8031 Caminito de Pizza Unit E
San Diego, CA 92108-1408
Phone (858) 414-6830

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1084607CAMDBehavioral Analyst
PSY 22311CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Carinci Psychology Inc CurrentSince Nov 19, 2023 Accepting new patients

Locations

3702 Ruffin Rd
Ste 100
San Diego, CA 92123
Phone (619) 297-4300

591 Camino de la Reina
Ste 821
San Diego, CA 92108
Phone (858) 414-6830

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.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1285872895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 CAMINITO DE PIZZA UNIT E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081408",
            "telephone_number": "858-414-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 821",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083110",
            "telephone_number": "858-414-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARINCI",
        "first_name": "GREGORY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1084607",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 22311",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 4, 2009; 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.