Individual provider Active NPI

Stephen Papaleo, PH.D.

  • Clinical Psychologist
  • El Cajon, CA
National Provider Identifier
1598702029
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7515 Issued in CA
Practice address
1704 Guava LN
El Cajon, CA 92020-8328
Phone
(619) 892-3595
Fax
(800) 334-1041
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7515 CA Primary

Addresses

Primary practice location

1704 Guava LN
El Cajon, CA 92020-8328

Mailing address

1704 Guava LN
El Cajon, CA 92020-8328
Phone (619) 892-3595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000598 CA Practitioner - Clinical Psychologist 4880776939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY7515CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Family Support Services, Inc Psychologist CurrentSince Sep 1, 2008 Accepting new patients
Advanced TMS Clinic Inc PastSince May 24, 2020 Accepting new patients
Pacific Health Systems, L.P. PastSince Oct 1, 2005 Accepting new patients

Locations

7200 Parkway Dr
Ste 113
La Mesa, CA 91942
Phone (619) 337-0455

5400 Connecticut Ave
Ste E
La Mesa, CA 91942
Phone (619) 589-0552

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1598702029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 GUAVA LN",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920208328",
            "telephone_number": "619-892-3595",
            "fax_number": "800-334-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 GUAVA LN",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920208328",
            "telephone_number": "619-892-3595",
            "fax_number": "800-334-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPALEO",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.