Iterra Psychological Services Apc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ITERRA PSYCHOLOGICAL SERVICES APC

Practice address

12636 High Bluff Dr Ste 400
San Diego, CA 92130-2071

Phone

(619) 830-9552

NPI assigned

Feb 17, 2026

Organization subpart

No

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

Authorized official

Name

Philip Watson, PSYDNPI 1619477767

Title

President

Phone

(619) 830-9552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Watson

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1619477767
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1508719758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 STEVENS WAY UNIT 740244",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921747011",
            "telephone_number": "619-830-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12636 HIGH BLUFF DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302071",
            "telephone_number": "619-830-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5906 Balmoral Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921144107",
            "country_code": "US",
            "telephone_number": "619-830-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ITERRA PSYCHOLOGICAL SERVICES APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-830-9552",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rula Issa
• Saif Issac
• Amina Isse
• Asma Isse
• Alexander Iteen, M.D.
• .Aleksandr M. Itkin, M.D.
• Yelena M Itkin, PHARM D
• Ito Chiropractic & Wellness, Inc.
• Breanna Mitsue Ito, MD
• Joyce Ito

• 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 10, 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.