Individual provider Active NPI

Lindsay Elizondo, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1598309965
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31249 Issued in CA
Practice address
317 Laurel St
San Diego, CA 92101-1630
Phone
(619) 289-7597
Fax
(619) 354-7283
NPI assigned
Oct 29, 2019
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY31249 CA
Clinical Psychologist 103TC0700X PSY31249 CA Primary

Addresses

Primary practice location

317 Laurel St
San Diego, CA 92101-1630

Mailing address

317 Laurel St
San Diego, CA 92101-1630
Phone (619) 289-7597

Other names 1

  • Lindsay Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY31249CAMDPsychologist
31249CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Elizondo Psychology, Inc Psychologist CurrentSince Oct 31, 2021 Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Coastal Therapy Group, a Psychological Corporation PastSince Jul 1, 2020 Accepting new patients
Learning to Be Human PastSince Dec 3, 2019 Accepting new patients

Locations

317 Laurel St
San Diego, CA 92101
Phone (415) 823-3253

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1598309965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011630",
            "telephone_number": "619-289-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011630",
            "telephone_number": "619-289-7597",
            "fax_number": "619-354-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "LINDSAY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31249",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 25, 2021; 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.