NPIMap

Organization Active NPI

Insight Psychological Services Center, PC

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1356684724
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21538 Issued in CA
Legal business name
INSIGHT PSYCHOLOGICAL SERVICES CENTER, PC
Practice address
4907 Morena Blvd
Suite 1412
San Diego, CA 92117-3463
Phone
(858) 272-6100
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Leslie Hovsepian, PH.D.NPI 1508054800
Title
Psychologist
Phone
(858) 272-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY21538 CA Primary

Addresses

Primary practice location

4907 Morena Blvd
Suite 1412
San Diego, CA 92117-3463

Mailing address

4907 Morena Blvd
Suite 1412
San Diego, CA 92117-3463
Phone (858) 272-6100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1356684724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 MORENA BLVD",
            "address_2": "SUITE 1412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173463",
            "telephone_number": "858-272-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 MORENA BLVD",
            "address_2": "SUITE 1412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173463",
            "telephone_number": "858-272-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT PSYCHOLOGICAL SERVICES CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "HOVSEPIAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "858-272-6100",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21538",
            "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 Apr 3, 2013; 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.