Organization Active NPI

Denise Kruszewski PHD Psychology, Inc.

Doing business as Center for Stress Recovery and Resilience

  • Clinical Psychologist
  • Oceanside, CA
National Provider Identifier
1639644818
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DENISE KRUSZEWSKI PHD PSYCHOLOGY, INC.
Doing business as
Center for Stress Recovery and Resilience
Practice address
2111 S El Camino Real Ste 302
Oceanside, CA 92054-9000
Phone
(619) 836-0046
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Dr. Denise Kruszewski, PHD
Title
Director
Phone
(619) 836-0046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2111 S El Camino Real Ste 302
Oceanside, CA 92054-9000

Mailing address

4225H Oceanside Blvd # 509
Oceanside, CA 92056-3471
Phone (619) 836-0046

Other names 1

  • Center for Stress Recovery and Resilience Doing business as

National Provider Directory

National Provider Directory

Locations

2111 S El Camino Real
Ste 302
Oceanside, CA 92054
Phone (619) 836-0046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1639644818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225H OCEANSIDE BLVD # 509",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563471",
            "telephone_number": "619-836-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S EL CAMINO REAL STE 302",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920549000",
            "telephone_number": "619-836-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE KRUSZEWSKI PHD PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "KRUSZEWSKI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-836-0046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Stress Recovery and Resilience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.