Fawcett Psychology, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FAWCETT PSYCHOLOGY, INC.

Practice address

411 Camino del Rio S Ste 205
San Diego, CA 92108-3550

Phone

(619) 356-0811

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Fawcett, PH.D.NPI 1104114206

Title

President

Phone

(619) 356-0811

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kevin Fawcett, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1104114206
  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1417608068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CAMINO DEL RIO S STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083550",
            "telephone_number": "619-356-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CAMINO DEL RIO S STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083550",
            "telephone_number": "619-356-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWCETT PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-356-0811",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kariann Favillo, LCSW
• Marjorie Anne Favor, RN
• Tanecia Favors, RN, CLC
• Laurence Dekanter Favrot, MD
• Christine Ann Favus, RD
• James Carey Fawcett, M.D.
• Katelyn Fawcett, M.S.P.T.
• Kevin Fawcett, PH.D.
• Sylvia Fawson, LMSW
• Katie Fay, BCBA

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.