NPIMap

Organization Active NPI

North City Psychological Group

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1649387259
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NORTH CITY PSYCHOLOGICAL GROUP
Practice address
9683 Tierra Grande St Ste 105
San Diego, CA 92126-6503
Phone
(858) 695-2237
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Roger Brian Storrs, PH D
Title
Director
Phone
(858) 695-2237

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

9683 Tierra Grande St Ste 105
San Diego, CA 92126-6503

Mailing address

9683 Tierra Grande St Ste 105
San Diego, CA 92126-6503
Phone (858) 695-2237

National Provider Directory

National Provider Directory

Locations

9683 Tierra Grande St
Ste 105
San Diego, CA 92126
Phone (858) 695-2237

Practitioners & affiliated clinicians

Practitioners 2

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1649387259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9683 TIERRA GRANDE ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266503",
            "telephone_number": "858-695-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9683 TIERRA GRANDE ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266503",
            "telephone_number": "858-695-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CITY PSYCHOLOGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "STORRS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-695-2237",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, 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": []
}

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 Aug 17, 2010; 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.