Individual provider Active NPI

Janet Ricci Elkun, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1487546032
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY35992 Issued in CA
Practice address
409 Camino del Rio S Ste 310
San Diego, CA 92108-3560
Phone
(877) 404-1967
Fax
(619) 810-0383
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY35992 CA
Clinical Psychologist 103TC0700X PSY35992 CA Primary

Addresses

Primary practice location

409 Camino del Rio S Ste 310
San Diego, CA 92108-3560

Mailing address

340 James St
Escondido, CA 92027-5316
Phone (858) 405-5822

Other practice location 1

340 James St
Escondido, CA 92027-5316
Phone (858) 405-5822

Other practice location 2

12625 High Bluff Dr Ste 103
San Diego, CA 92130-2053
Phone (858) 834-8144

Other names 1

  • Dr. Janet Ricci Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819005051 CA Practitioner - Clinical Psychologist 5799284345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phillips Medstone a Psychological CorporationGroup PAC ID 6507099603, 2 clinicians

Practice addresses (Care Compare)

2655 Camino del Rio N
Suite 340
San Diego, CA 92108-1683
Phone (877) 404-1967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY35992CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Medstone a Psychological Corporation Psychologist CurrentSince Jul 18, 2025 Accepting new patients

Locations

409 Camino del Rio S
Ste 310
San Diego, CA 92108
Phone (877) 404-1967

2655 Camino del Rio N
Ste 340
San Diego, CA 92108
Phone (619) 261-8861

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1487546032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 JAMES ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920275316",
            "telephone_number": "858-405-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CAMINO DEL RIO S STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083560",
            "telephone_number": "877-404-1967",
            "fax_number": "619-810-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 James St",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920275316",
            "country_code": "US",
            "telephone_number": "858-405-5822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12625 High Bluff Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921302053",
            "country_code": "US",
            "telephone_number": "858-834-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCI ELKUN",
        "first_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY35992",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "RICCI",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.