Bianca Cersosimo, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY34256 Issued in CA

Practice address

7220 Trade St Ste 168
San Diego, CA 92121-2324

Phone

(858) 356-2176

Fax

(877) 216-1240

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bianca Cersosimo PHD Clinical Psychologist Apc

  • Psychologist
  • San Diego, CA
  • NPI 1316899271
  NPD Authorized official
• Adr Wellness a Professional Psychology Corporation

  • Psychiatry Physician
  • Carlsbad, CA
  • NPI 1073028742
  NPD (past)
• San Diego Youth Psychology

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1225785496
  NPD (past)
• Savant Care Inc

  dba Savant Care

  • Community/Behavioral Health Agency
  • Los Altos, CA
  • NPI 1932511243
  NPD (past)

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1366145278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 TRADE ST STE 168",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212324",
            "telephone_number": "858-356-2176",
            "fax_number": "877-216-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 TRADE ST STE 168",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212324",
            "telephone_number": "858-356-2176",
            "fax_number": "877-216-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4966 El Camino Real Ste 244",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940221436",
            "country_code": "US",
            "telephone_number": "650-690-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERSOSIMO",
        "first_name": "BIANCA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Cerney
• Kelly Dayanne Ceron
• Nijessia Cerqueira
• Elizabeth Cerrone, D.O.
• Hannah Cerros
• Dakota Ray Certain
• Jessica Ann Cerullo, PHARM.D.
• Miguel Angel Cervantes Castorena
• Ivan Cervantes Palomino
• Arlette Cervantes

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.