Organization Active NPI

Psychosis Recovery Psychological Clinic Inc

  • Psychologist
  • San Diego, CA
National Provider Identifier
1679430946
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PSYCHOSIS RECOVERY PSYCHOLOGICAL CLINIC INC
Practice address
3636 Fifth Ave Ste 203
San Diego, CA 92103-4230
Phone
(858) 242-9330
NPI assigned
Jan 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Dr. Heline Mirzakhanian, PHDNPI 1538402151
Title
Founder
Phone
(858) 242-9330

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

3636 Fifth Ave Ste 203
San Diego, CA 92103-4230

Mailing address

3636 Fifth Ave Ste 203
San Diego, CA 92103-4230
Phone (858) 242-9330

National Provider Directory

National Provider Directory

Locations

3636 5th Ave
Ste 203
San Diego, CA 92103
Phone (619) 272-4450

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": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1679430946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 FIFTH AVE STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034230",
            "telephone_number": "858-242-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 FIFTH AVE STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034230",
            "telephone_number": "858-242-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOSIS RECOVERY PSYCHOLOGICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "MIRZAKHANIAN",
        "authorized_official_first_name": "HELINE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "858-242-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "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 Jan 21, 2026; 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.