Soul Psychology

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SOUL PSYCHOLOGY

Practice address

302 Washington St
San Diego, CA 92103-2110

Phone

(424) 281-7859

Fax

(619) 546-8552

NPI assigned

Nov 26, 2019

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Bowen, PSYDNPI 1861949190

Title

Owner/Ceo

Phone

(424) 281-7859

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Bowen

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1861949190
  NPD Authorized official

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1598301335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032110",
            "telephone_number": "424-281-7859",
            "fax_number": "619-546-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032110",
            "telephone_number": "424-281-7859",
            "fax_number": "619-546-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "424-281-7859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1861949190",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "websiteEHR",
            "address_1": "2214 5th Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921012104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nadia Souayed
• Christopher Dwight Souder, M.D.
• Silvia E Souders
• Michelle Coleen Souice, LVN
• Soul Perfect Balance
• Soul Ties Behavioral Therapy Inc.
• Edward James Soule, PT
• Soulflo Therapy
• Andre Soumekh
• M Hertzel Soumekh, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.