Active NPI
Darlene Townes, PSYD
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1376985473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31615
- Practice address
- 12636 High Bluff Dr
Ste 400
San Diego, CA 92130-2071 - Phone
- (858) 500-2434
- Fax
- (858) 815-6646
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY31615 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | PSY31615 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY31615 | CA | |
| Clinical Psychologist | 103TC0700X | PSY31615 | CA | Primary |
Addresses
Primary practice location
12636 High Bluff Dr
Ste 400
San Diego, CA 92130-2071
Mailing address
PO Box 506774
San Diego, CA 92150-6774
Phone (619) 427-4667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200316001921 | CA | Practitioner - Clinical Psychologist | 9032547518 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9663 Tierra Grande St
Suite 104
San Diego, CA 92126-4569
Phone (858) 500-2434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31615 | CA | MD | Cognitive & Behavioral Psychologist |
| 31615 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metanoia Group | Psychologist | Current | Accepting new patients |
| Dr Moon Psychology Center Corp | Psychologist | Past | Accepting new patients |
Locations
9663 Tierra Grande St
Ste 104
San Diego, CA 92126
Phone (619) 736-0333
Organizations & group practices 2
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.
-
- Psychologist
- San Diego, CA
- NPI 1376354217
-
- Psychologist
- San Diego, CA
- NPI 1427902873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1376985473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 506774",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921506774",
"telephone_number": "619-427-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12636 HIGH BLUFF DR",
"address_2": "STE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302071",
"telephone_number": "858-500-2434",
"fax_number": "858-815-6646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNES",
"first_name": "DARLENE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY31615",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY31615",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY31615",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.