Individual provider Active NPI

Ashley Michelle Quiroz, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1689024994
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27130 Issued in CA
Practice address
2667 Camino del Rio S Ste 105
San Diego, CA 92108-3763
Phone
(516) 330-1102
NPI assigned
Jun 16, 2016
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27130 CA Primary

Addresses

Primary practice location

2667 Camino del Rio S Ste 105
San Diego, CA 92108-3763

Mailing address

2667 Camino del Rio S Ste 105
San Diego, CA 92108-3763
Phone (516) 330-1102

Other practice location 1

1664 Broadway
El Cajon, CA 92021-5201
Phone (619) 579-8685

Other practice location 2

2535 Camino Del Rio S
Suite 230
San Diego, CA 92108-3754
Phone (516) 330-1102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY27130CAMDClinical Psychologist
27130CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Valley Psychology, Inc. CurrentSince Feb 4, 2024 Accepting new patients

Locations

2535 Camino del Rio S
Ste 230
San Diego, CA 92108
Phone (442) 888-0086

2667 Camino del Rio S
Ste 105
San Diego, CA 92108
Phone (516) 330-1102

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1689024994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 CAMINO DEL RIO S STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083763",
            "telephone_number": "516-330-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 CAMINO DEL RIO S STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083763",
            "telephone_number": "516-330-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1664 Broadway",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920215201",
            "country_code": "US",
            "telephone_number": "619-579-8685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2535 Camino Del Rio S",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083754",
            "country_code": "US",
            "telephone_number": "516-330-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIROZ",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.