Organization Active NPI

San Diego Health Psychology and Wellness

  • Clinical Psychologist
  • Del Mar, CA
National Provider Identifier
1487206850
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SAN DIEGO HEALTH PSYCHOLOGY AND WELLNESS
Practice address
2262 Carmel Valley Rd Ste D
Del Mar, CA 92014-3751
Phone
(858) 240-8400
Fax
(858) 429-0640
NPI assigned
Jul 15, 2019
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Suzann M King
Title
Office Manager
Phone
(619) 994-9567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

2262 Carmel Valley Rd Ste D
Del Mar, CA 92014-3751

Mailing address

2262 Carmel Valley Rd Ste D
Del Mar, CA 92014-3751
Phone (858) 240-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190930001669 CA Part B Supplier - Clinic/Group Practice 3476883745 Receives reassigned benefits from 1 practitioner
Practice locations: Del Mar, CA

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1487206850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 CARMEL VALLEY RD STE D",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143751",
            "telephone_number": "858-240-8400",
            "fax_number": "858-429-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 CARMEL VALLEY RD STE D",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143751",
            "telephone_number": "858-240-8400",
            "fax_number": "858-429-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO HEALTH PSYCHOLOGY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SUZANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-994-9567"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.