Active NPI
San Diego Health and Wellness Center for Children and Families
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1609718543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SAN DIEGO HEALTH AND WELLNESS CENTER FOR CHILDREN AND FAMILIES
- Practice address
- 11622 El Camino Real Ste 100
San Diego, CA 92130-2051 - Phone
- (619) 695-4478
- NPI assigned
- Apr 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Jacqueline Rangel Cornejo, PH.D.
- Title
- Chief Executive Officer
- Phone
- (619) 695-4478
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
11622 El Camino Real Ste 100
San Diego, CA 92130-2051
Mailing address
11622 El Camino Real Ste 100
San Diego, CA 92130-2051
Phone (619) 695-4478
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- San Diego, CA
- NPI 1528409232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1609718543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11622 EL CAMINO REAL STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302051",
"telephone_number": "619-695-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11622 EL CAMINO REAL STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302051",
"telephone_number": "619-695-4478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO HEALTH AND WELLNESS CENTER FOR CHILDREN AND FAMILIES",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-08",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "RANGEL CORNEJO",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "JACQUELINE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "619-695-4478",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- San Diego General and Vascular Surgeons Medical Group, Inc. (San Diego Surgical Specialists)
- San Diego Health Alliance (Fashion Valley Clinic)
- San Diego Health and Medical Inc
- San Diego Health LLC
- San Diego Hearing AIDS, Inc. (Nuear Hearing Center)
- San Diego Hearing Center Inc
- San Diego Hearing Center, Inc.
- San Diego Heart & Medical Clinic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.