Active NPI
Steven James Covelluzzi, PSY.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1619177144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY24668
- Practice address
- 1550 Hotel Cir N
Suite 270
San Diego, CA 92108-2901 - Phone
- (619) 692-1581
- Fax
- (619) 692-1588
- NPI assigned
- Jul 23, 2007
- Last updated
- Apr 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY24668 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | PSB34381 | CA |
Addresses
Primary practice location
1550 Hotel Cir N
Suite 270
San Diego, CA 92108-2901
Mailing address
PO Box 609001
San Diego, CA 92160-9001
Phone (619) 528-4600
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSB34381 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Centers at San Diego, Inc. Med GRP | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1841241585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1619177144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 609001",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921609001",
"telephone_number": "619-528-4600",
"fax_number": "619-528-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 HOTEL CIR N",
"address_2": "SUITE 270",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082901",
"telephone_number": "619-692-1581",
"fax_number": "619-692-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVELLUZZI",
"first_name": "STEVEN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY24668",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "PSB34381",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Jarlyn Garcia Covarrubias, AMFT
- Jennifer Covarrubias, LMFT
- Reba Covarrubias, LCSW
- Cove Counseling Group, a Licensed Clinical Social Worker Corp (Cove Counseling Group)
- Dustin Mathew Covell, M.D.
- Madison Leigh Coveno
- Andrew Covert, CADC II
- Evan Covert, IDC
- Lauren Tam Covert, M.D.
- Stephanie Covert, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.