San Diego Psychology & Telehealth

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

SAN DIEGO PSYCHOLOGY & TELEHEALTH

Practice address

5252 Balboa Ave Ste 1004
San Diego, CA 92117-6986

Phone

(619) 314-5560

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

Lukasz Urban, PSYDNPI 1619256039

Title

Psychologist

Phone

(619) 314-5560

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Lukasz Urban, PSYD

  • Clinical Child & Adolescent Psychologist
  • San Diego, CA
  • NPI 1619256039
  NPD (past) Authorized official

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1316417009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 1004",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176986",
            "telephone_number": "619-314-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 1004",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176986",
            "telephone_number": "619-314-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO PSYCHOLOGY & TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "LUKASZ",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-314-5560",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Prep Inc
• San Diego Primary Care Medical Group
• San Diego Psychiatric Medical Group Inc
• San Diego Psychiatry, PC
• San Diego Psychological Couple Care, Inc.
• San Diego Psychology Center
• San Diego Psychology Group, Inc
• San Diego Psychotherapy
• San Diego Psychotherapy Services
• San Diego Pulmonary and Critical Care Medical Group Inc.

• Adolescent and Children Mental Health Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.