Active NPI
Elijah Amir Cohen-Saperstein, PSY.D
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1356771083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- IL-2013399
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001010 | Other | DC | UNITED STATES DEPARTMENT OF STATE |
| 100001010 | Other | DC | UNITED 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
| License | State | Type | Specialty |
|---|---|---|---|
| IL-2013399 | ZZ | MD | Clinical 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.