Craig Carlson, PH.D., Psychologist, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY10849 Issued in CA

Legal business name

CRAIG CARLSON, PH.D., PSYCHOLOGIST, INC.

Practice address

12625 High Bluff Dr
Suite 114-C
San Diego, CA 92130-2052

Phone

(760) 494-0089

Fax

(858) 755-2359

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig William Carlson, PH.D.NPI 1821030677

Title

President

Phone

(760) 758-5680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Craig William Carlson, PH.D.

  • Psychologist
  • San Diego, CA
  • NPI 1821030677
  Medicare reassignment NPD Authorized official
• Elaine Marie Litton, LCSW

  • Clinical Social Worker
  • Del Mar, CA
  • NPI 1013956937
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447298369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920180098",
            "telephone_number": "760-494-0089",
            "fax_number": "858-755-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR",
            "address_2": "SUITE 114-C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302052",
            "telephone_number": "760-494-0089",
            "fax_number": "858-755-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG CARLSON, PH.D., PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-758-5680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Craft, PA-C
• Danika Craft
• Emily Craft
• Timothy Paul Craft, M.D.
• Erin Cragin, MS
• Craig L. Dillman, a Chiropractic Corporation
• Craig M. Sclar
• Candace Erin Craig, LMSW U/S
• Carly Craig
• Courtney Craig

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.