Active NPI
Emily N. Kierce, PSY.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1437584604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31489
- Practice address
- 402 W Broadway Ste 1925
San Diego, CA 92101-8505 - Phone
- (619) 930-9060
- Fax
- (619) 930-9060
- NPI assigned
- Sep 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31489 | CA | Primary |
Addresses
Primary practice location
402 W Broadway Ste 1925
San Diego, CA 92101-8505
Mailing address
402 W Broadway Ste 1925
San Diego, CA 92101-8505
Phone (619) 930-9060
Other practice location 1
3150 El Camino Real Ste G
Carlsbad, CA 92008-2110
Phone (619) 930-9060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31489 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1437584604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W BROADWAY STE 1925",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921018505",
"telephone_number": "619-930-9060",
"fax_number": "619-930-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W BROADWAY STE 1925",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921018505",
"telephone_number": "619-930-9060",
"fax_number": "619-930-9060"
}
],
"practiceLocations": [
{
"address_1": "3150 El Camino Real Ste G",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "920082110",
"country_code": "US",
"telephone_number": "619-930-9060",
"fax_number": "619-930-9060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIERCE",
"first_name": "EMILY",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-06",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.