NPIMap

Organization Active NPI

San Diego Psychology Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1386086478
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PSY18873 Issued in CA
Legal business name
SAN DIEGO PSYCHOLOGY CENTER
Practice address
2870 4TH Ave
101
San Diego, CA 92103-6298
Phone
(619) 297-1750
Fax
(619) 297-0470
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Deisy Cristina Boscan, PH.D.NPI 1184774325
Title
Psychologist
Phone
(619) 297-1750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PSY18873 CA Primary

Addresses

Primary practice location

2870 4TH Ave
101
San Diego, CA 92103-6298

Mailing address

2870 4TH Ave
101
San Diego, CA 92103-6298
Phone (619) 297-1750

Other names 1

  • Deisy Cristina Boscan, Ph.D. Psychologist, Professional Corporation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1386086478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 4TH AVE",
            "address_2": "101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036298",
            "telephone_number": "619-297-1750",
            "fax_number": "619-297-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 4TH AVE",
            "address_2": "101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036298",
            "telephone_number": "619-297-1750",
            "fax_number": "619-297-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO PSYCHOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "BOSCAN",
        "authorized_official_first_name": "DEISY",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-297-1750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "PSY18873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deisy Cristina Boscan, Ph.D. Psychologist, Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 18, 2013; 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.