Soul Tide Outpatient Psychotherapy, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SOUL TIDE OUTPATIENT PSYCHOTHERAPY, PC

Practice address

3257 Camino de Los Coches Ste 303
Carlsbad, CA 92009-8974

Phone

(858) 945-7421

Fax

(858) 726-6265

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Trevor J Olson, PSYD

Title

Psychologist/Owner

Phone

(855) 945-7421

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1376224402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 IRVING AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921132301",
            "telephone_number": "858-945-7421",
            "fax_number": "858-726-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 CAMINO DE LOS COCHES STE 303",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098974",
            "telephone_number": "858-945-7421",
            "fax_number": "858-726-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL TIDE OUTPATIENT PSYCHOTHERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "855-945-7421",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Soto
• Makayla Soto
• Sottek Trippe Enterprise, LLC
• Jennifer Anne Souders, D.PT.
• Soul Shining Psychology Professional Corporation
• Soul Tide Psychotherapy PC
• Southcoast Psychological Associates, Inc.
• Southern California Institute of Clinical Nutrition
• Southern California Recovery Centers Oceanside LLC
• Itzamara Sparks

• Psychologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.