Individual provider Active NPI

Patrick J Savaiano, PSY.D.

  • Clinical Psychologist
  • San Marcos, CA
National Provider Identifier
1497154678
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26216 Issued in CA
Practice address
1140 W Mission Rd
San Marcos, CA 92069-1415
Phone
(760) 744-1150
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY26216 CA Primary

Addresses

Primary practice location

1140 W Mission Rd
San Marcos, CA 92069-1415

Mailing address

1140 W Mission Rd
San Marcos, CA 92069-1415
Phone (760) 744-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 15, 2015 through Sep 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY26216CAMDClinical Psychologist
26216CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palomar College Past Accepting new patients
Palomar College 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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1497154678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W MISSION RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691415",
            "telephone_number": "760-744-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W MISSION RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691415",
            "telephone_number": "760-744-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAIANO",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.