Jeff Schanowitz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20362 Issued in CA

Legal business name

JEFF SCHANOWITZ, PH.D.

Practice address

2831 Camino del Rio S
213
San Diego, CA 92108-3802

Phone

(619) 252-3713

Fax

(619) 297-6600

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Schanowitz, PH.D.NPI 1679683007

Title

President

Phone

(619) 252-3713

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeff Schanowitz, PH.D.

  • Psychologist
  • San Diego, CA
  • NPI 1679683007
  NPD (past) Authorized official

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1689949463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 MATERA LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086737",
            "telephone_number": "619-252-3713",
            "fax_number": "619-297-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 CAMINO DEL RIO S",
            "address_2": "213",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083802",
            "telephone_number": "619-252-3713",
            "fax_number": "619-297-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF SCHANOWITZ, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "SCHANOWITZ",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-252-3713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.