Individual provider Active NPI

Bapsi A Slali, PHD

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1336284512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7103 Issued in CA
Practice address
3645 Ruffin Rd
Ste 205
San Diego, CA 92123-1887
Phone
(858) 569-2055
Fax
(858) 569-2061
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7103 CA Primary

Addresses

Primary practice location

3645 Ruffin Rd
Ste 205
San Diego, CA 92123-1887

Mailing address

3645 Ruffin Rd
Ste 205
San Diego, CA 92123-1887
Phone (858) 569-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000298 CA Practitioner - Clinical Psychologist 1658563705 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3625 Ruffin Rd
Suite 303
San Diego, CA 92123-1832
Phone (838) 569-2055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY7103CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336284512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 RUFFIN RD",
            "address_2": "STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231887",
            "telephone_number": "858-569-2055",
            "fax_number": "858-569-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 RUFFIN RD",
            "address_2": "STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231887",
            "telephone_number": "858-569-2055",
            "fax_number": "858-569-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLALI",
        "first_name": "BAPSI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.