Jeffrey M Poizner, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 24960 Issued in CA

Practice address

190 Galbraith HL
9500 Gilman Drive #0304
La Jolla, CA 92093-0304

Phone

(858) 822-2679

NPI assigned

Nov 30, 2006

Last updated

May 1, 2012By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

Practice roles

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

• Advanced TMS Clinic Inc

  • Clinic/Center
  • National City, CA
  • NPI 1386104263
  NPD (past)
• Pacific Health Systems, L.P.

  • Psychiatry Physician
  • National City, CA
  • NPI 1669486429
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1366510471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22051",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921922051",
            "telephone_number": "858-822-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GALBRAITH HL",
            "address_2": "9500 GILMAN DRIVE #0304",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930304",
            "telephone_number": "858-822-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIZNER",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 24960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Poceta, M.D.
• Ann Whealen Pockros, PH.D.
• Paul J. Pockros, M.D.
• Caitriona Eileen Poehler, NP
• Claire Pointer
• Avery Pojda Morrison
• Daniel Pollack, RN, CNS
• Travis Pollema, D.O.
• Justin Edward Pollock, M.D.
• Timmie Pollock, PH.D.

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, 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 1, 2012; 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.