Active NPI
Lori J Magnusson, PH.D.
- Clinical Psychologist
- Vista, CA
National Provider Identifier
1467563767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY8568
- Practice address
- 550 W Vista Way
Suite 105
Vista, CA 92083-5732 - Phone
- (760) 634-6643
- Fax
- (760) 634-6643
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY8568 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY8568 | CA |
Addresses
Primary practice location
550 W Vista Way
Suite 105
Vista, CA 92083-5732
Mailing address
550 W Vista Way
Suite 105
Vista, CA 92083-5732
Phone (760) 634-6643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY085680 | Medicaid | CA |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8568 | CA | MD | Clinical Child & Adolescent Psychologist |
| 8568 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Neurohealth West Professional Medical Corporation | Past | Accepting new patients | |
| Lori J. Magnusson, PH.D.,Apc | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Vista, CA
- NPI 1013938190
-
- Psychiatry Physician
- San Diego, CA
- NPI 1326598244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1467563767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W VISTA WAY",
"address_2": "SUITE 105",
"city": "VISTA",
"state": "CA",
"postal_code": "920835732",
"telephone_number": "760-634-6643",
"fax_number": "760-634-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W VISTA WAY",
"address_2": "SUITE 105",
"city": "VISTA",
"state": "CA",
"postal_code": "920835732",
"telephone_number": "760-634-6643",
"fax_number": "760-634-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNUSSON",
"first_name": "LORI",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY8568",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY8568",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY085680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.