Organization Active NPI

Solace Psychology Inc

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1457115362
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SOLACE PSYCHOLOGY INC
Practice address
8355 Station Village LN Unit 4116
San Diego, CA 92108-6573
Phone
(858) 504-7743
Fax
(858) 216-1928
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Lina Kogan-Sbarbaro, PSYDNPI 1003105784
Title
President
Phone
(858) 504-7743

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

8355 Station Village LN Unit 4116
San Diego, CA 92108-6573

Mailing address

864 Grand Ave Ste 130
San Diego, CA 92109-3906
Phone (858) 504-7743

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1457115362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 GRAND AVE STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093906",
            "telephone_number": "858-504-7743",
            "fax_number": "858-216-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 STATION VILLAGE LN UNIT 4116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086573",
            "telephone_number": "858-504-7743",
            "fax_number": "858-216-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-11",
        "status": "A",
        "authorized_official_last_name": "KOGAN-SBARBARO",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-504-7743",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 12, 2024; 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.