Organization Active NPI

Kim Ajlouny, Psy.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1386066041
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23171 Issued in CA
Legal business name
KIM AJLOUNY, PSY.D.
Practice address
5850 Oberlin Dr
Suite 330
San Diego, CA 92121-4719
Phone
(858) 229-6986
Fax
(858) 712-3881
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dr. Kim Lee Ajlouny, PSY.D.
Title
Clinical Psychologist
Phone
(858) 229-6986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY23171 CA Primary

Addresses

Primary practice location

5850 Oberlin Dr
Suite 330
San Diego, CA 92121-4719

Mailing address

2351 Manchester Ave
Cardiff by the Sea, CA 92007-2009
Phone (858) 229-6986

National Provider Directory

National Provider Directory

Locations

5850 Oberlin Dr
Ste 330
San Diego, CA 92121
Phone (858) 229-6986

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1386066041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 MANCHESTER AVE",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920072009",
            "telephone_number": "858-229-6986",
            "fax_number": "858-712-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 OBERLIN DR",
            "address_2": "SUITE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214719",
            "telephone_number": "858-229-6986",
            "fax_number": "858-712-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AJLOUNY, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "AJLOUNY",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "858-229-6986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23171",
            "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 Jan 15, 2014; 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.