Alpha of San Diego, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

15358 Issued in CA

Legal business name

ALPHA OF SAN DIEGO, INC.

Doing business as

Alpha Behavioral Health Services

Practice address

4069 30TH St
San Diego, CA 92104-2601

Phone

(619) 285-9999

Fax

(619) 285-1938

NPI assigned

Jun 9, 2006

Last updated

Nov 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott A. Suckow

Title

Ceo/Executive Director

Phone

(619) 285-9999

Specialties & licenses 1

Addresses

Other names 1

• Alpha Behavioral Health Services Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1417998378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042601",
            "telephone_number": "619-285-9999",
            "fax_number": "619-285-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4069 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042601",
            "telephone_number": "619-285-9999",
            "fax_number": "619-285-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OF SAN DIEGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "SUCKOW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-285-9999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "15358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Agunanne Alozie
• Alpa Medical Group
• Benjamin Michael Alpert, PSYD
• Nina Alpert
• Alpha Health Care, Inc
• Alpha Omega Ventana Hospice LLC (Suncrest Hospice San Diego)
• Alpha Psychology, Inc
• Alpha Theta Center, Inc
• Alpina Home Health Care Inc
• Eman Alqahtani, M.D., MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.