Suzanne Kallen, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY9381 Issued in CA

Practice address

4715 Viewridge Ave
Suite 230
San Diego, CA 92123-1658

Phone

(800) 257-8715

Fax

(800) 819-1655

NPI assigned

Nov 9, 2006

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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366512923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 REDLANDS PL",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919024014",
            "telephone_number": "619-397-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 VIEWRIDGE AVE",
            "address_2": "SUITE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231658",
            "telephone_number": "800-257-8715",
            "fax_number": "800-819-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLEN",
        "first_name": "SUZANNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Kalisz
• Kalkaal Financial Enterprise, LLC.
• Kurt William Kalker, RN
• Stephen Mark Kalkhoff, MD
• Aaliyah Kallas
• Gene A Kallenberg, M.D.
• Jaclyn Kallstrand, BCBA
• Kalman E Holdy, M.D., a Medical Corporation
• Andrew Kalman, DDS
• Eszter Kalman, ASW

• 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 Jul 8, 2007; 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.