Organization Active NPI

Enhanced Psychological Health Care, Inc

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1588029045
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY9899 Issued in CA
Legal business name
ENHANCED PSYCHOLOGICAL HEALTH CARE, INC
Practice address
5737 Trinity PL
San Diego, CA 92120-4549
Phone
(619) 265-8383
Fax
(619) 460-2100
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Ms. Farideh Hassani Rezai, PH.DNPI 1194891234
Title
Chief Executive Officer
Phone
(619) 265-8383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY9899 CA Primary

Addresses

Primary practice location

5737 Trinity PL
San Diego, CA 92120-4549

Mailing address

5737 Trinity PL
San Diego, CA 92120-4549
Phone (619) 265-8383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160503001163 CA Part B Supplier - Clinic/Group Practice 7517266174 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA; San Diego, CA; Spring Valley, CA; El Cajon, CA

National Provider Directory

National Provider Directory

Locations

290 S Magnolia Ave
El Cajon, CA 92020
Phone (619) 447-2428

6645 Alvarado Rd
Ste 255
San Diego, CA 92120

7183 Navajo Rd
Ste G
San Diego, CA 92119
Phone (619) 267-8383

12526 Campo Rd
Spring Valley, CA 91978

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1588029045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 TRINITY PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204549",
            "telephone_number": "619-265-8383",
            "fax_number": "619-460-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 TRINITY PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204549",
            "telephone_number": "619-265-8383",
            "fax_number": "619-460-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED PSYCHOLOGICAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "REZAI",
        "authorized_official_first_name": "FARIDEH",
        "authorized_official_middle_name": "HASSANI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-265-8383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.