Wall Psychology a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20775 Issued in CA

Legal business name

WALL PSYCHOLOGY A PSYCHOLOGICAL CORPORATION

Practice address

311 Laurel St
San Diego, CA 92101-1630

Phone

(858) 352-8027

Fax

(619) 231-1050

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alessandra Sonboleh Antonia Wall, PH.D.

Title

Licensed Clinical Psychologist

Phone

(858) 352-8027

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PsychSanDiego Doing business as

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497819973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011630",
            "telephone_number": "858-352-8027",
            "fax_number": "619-231-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011630",
            "telephone_number": "858-352-8027",
            "fax_number": "619-231-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL PSYCHOLOGY A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "ALESSANDRA",
        "authorized_official_middle_name": "SONBOLEH ANTONIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "858-352-8027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PSY20775",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PsychSanDiego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wesley Walker, IDC
• William A Walker, D.D.S.
• Zoey N Walker
• Chelsea Renee Walkerow, MA
• Bethany Marie Walkins, FNP
• Alessandra Sa Wall
• Felicia Wall
• Katherine Elizabeth Wall, PA-C
• Matthew Wall, MD
• McKensie Wall, MD

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.