Stephanie Abel, PH.D.
Individual provider Active NPI Clinical Psychologist · San Diego, CA
NPI 1376770099 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1376770099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY28931 (CA)
- Practice address
- 16870 W Bernardo Dr Ste 400
San Diego, CA 92127-1678 - Phone
- (619) 756-4767
- Fax
- (619) 996-3196
- NPI assigned
- Jun 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170324000309 | CA | Practitioner - Clinical Psychologist | 6901181494 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28931 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Institute of California Medical Group Inc | Past |
Accepting new patients | |
| Robert Zalewski-Zaragoza, MD, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY28931 | CA | Yes |
Addresses
Primary practice location
16870 W Bernardo Dr Ste 400
San Diego, CA 92127-1678
Mailing address
16870 W Bernardo Dr Ste 400
San Diego, CA 92127-1678
Phone (619) 756-4767
Other providers in San Diego, CA
- Katsue Abe
- Tigist Bule Abe
- Hamid Abedi
- Whigmass D Abegaz
- Kristy Elizabeth Abel
- Martin Phillip Abelar
- Hanna Abeleda
- Paula F. Abeleda
- Ruth Abeles
- Shira Abeles
All providers in San Diego, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.