Individual provider Active NPI

Elijah Amir Cohen-Saperstein, PSY.D

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1356771083
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
IL-2013399 Issued in ZZ
Practice address
850 Beech Street
Suite 2203
San Diego, CA 92101
Phone
(917) 981-0503
NPI assigned
Nov 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychoanalysis Psychologist 103TP0814X IL-2013399
Clinical Social Worker 1041C0700X
Clinical Psychologist 103TC0700X IL-2013399 ZZ Primary

Addresses

Primary practice location

850 Beech Street
Suite 2203
San Diego, CA 92101

Mailing address

PO Box 120951
San Diego, CA 92112-0951
Phone (917) 981-0503

Other practice location 1

3950 Calle Fortunada
San Diego, CA 92123-1827
Phone (858) 309-1340

Other practice location 2

15373 Innovation Drive
Suite 205
San Diego, CA 92128
Phone (858) 699-7579

Other identifiers 2

IdentifierTypeStateIssuer
100001010OtherDCUNITED STATES DEPARTMENT OF STATE
100001010OtherDCUNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES

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
IL-2013399ZZMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1356771083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120951",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921120951",
            "telephone_number": "917-981-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BEECH STREET",
            "address_2": "SUITE 2203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "917-981-0503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Calle Fortunada",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231827",
            "country_code": "US",
            "telephone_number": "858-309-1340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15373 Innovation Drive",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92128",
            "country_code": "US",
            "telephone_number": "858-699-7579",
            "fax_number": "858-726-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN-SAPERSTEIN",
        "first_name": "ELIJAH",
        "middle_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-15",
        "last_updated": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": "IL-2013399",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ZZ",
            "license": "IL-2013399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED STATES DEPARTMENT OF STATE",
            "identifier": "100001010",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES",
            "identifier": "100001010",
            "state": "DC"
        }
    ],
    "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 Sep 12, 2025; 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.