Organization Active NPI

Connect Psychology Inc

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1649960899
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CONNECT PSYCHOLOGY INC
Practice address
3033 Fifth Ave Ste 230
San Diego, CA 92103-5873
Phone
(530) 400-7973
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Alyssa HustwickNPI 1548660095
Title
Ceo
Phone
(619) 746-8686

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3033 Fifth Ave Ste 230
San Diego, CA 92103-5873

Mailing address

3033 5TH Ave Ste 230
San Diego, CA 92103-5873

National Provider Directory

National Provider Directory

Locations

2307 Fenton Pkwy
Ste 107
San Diego, CA 92108
Phone (619) 649-8023

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": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1649960899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 5TH AVE STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 FIFTH AVE STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035873",
            "telephone_number": "530-400-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "HUSTWICK",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-746-8686"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 16, 2024; 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.