Organization Active NPI

Clipson & Osterloh, Apc

  • Forensic Psychologist
  • San Diego, CA
National Provider Identifier
1669582979
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSY 7669 Issued in CA
Legal business name
CLIPSON & OSTERLOH, APC
Practice address
3921 Goldfinch St
San Diego, CA 92103-2926
Phone
(619) 260-0335
Fax
(619) 260-1682
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Clark Richard Clipson, PH D
Title
Psychologist
Phone
(619) 260-0335

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PSY 7669 CA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY 7669 CA
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X PSY 7669 CA Primary

Addresses

Primary practice location

3921 Goldfinch St
San Diego, CA 92103-2926

Mailing address

3921 Goldfinch St
San Diego, CA 92103-2926
Phone (619) 260-0335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669582979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 GOLDFINCH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032926",
            "telephone_number": "619-260-0335",
            "fax_number": "619-260-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 GOLDFINCH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032926",
            "telephone_number": "619-260-0335",
            "fax_number": "619-260-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIPSON & OSTERLOH, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLIPSON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-260-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 7669",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 7669",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY 7669",
            "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 Sep 11, 2025; 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.