Carlsbad Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26000 Issued in CA

Legal business name

CARLSBAD PSYCHOLOGICAL SERVICES

Practice address

3150 El Camino Real
Suite E
Carlsbad, CA 92008-2110

Phone

(760) 276-4606

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Authorized official

Name

Nina Petit de Mange

Title

President

Phone

(760) 276-4606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1356764880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 EL CAMINO REAL",
            "address_2": "SUITE E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 EL CAMINO REAL",
            "address_2": "SUITE E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082110",
            "telephone_number": "760-276-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "PETIT DE MANGE",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-276-4606"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlsbad Family Therapy Inc
• Carlsbad Integrative Medical Center Incorporated
• Carlsbad Mental Health Services LLC
• Carlsbad Optometry
• Carlsbad Psychological Assessment Center (Carlsbad Assessment Center for Children)
• Carlsbad Rehabilitation Partners (PRN Physical Therapy)
• Carlsbad Relationship Counseling Center & Psychotherapy, Inc.
• Carlsbad Speech Therapy Inc.
• Carlsbad Surgery Center, LLC
• Carlsbad Unified School District

• Clinical Psychologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.