San Elijo Neurofeedback and Psychological Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SAN ELIJO NEUROFEEDBACK AND PSYCHOLOGICAL SERVICES

Practice address

1240 San Elijo Rd N
San Marcos, CA 92078-1086

Phone

(760) 304-4168

Fax

(760) 304-4168

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Charmaine G Lowe, PHDNPI 1902969124

Title

Clinical Psychologist

Phone

(760) 304-4168

Specialties & licenses 1

Addresses

Practitioners 1

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

• Charmaine Grace Lowe, PHD

  • Psychologist
  • San Marcos, CA
  • NPI 1902969124
  NPD Authorized official

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1699494070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SAN ELIJO RD N",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781086",
            "telephone_number": "760-304-4168",
            "fax_number": "760-304-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SAN ELIJO RD N",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781086",
            "telephone_number": "760-304-4168",
            "fax_number": "760-304-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ELIJO NEUROFEEDBACK AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "760-304-4168",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• San Marcos Dialysis LLC (San Marcos Dialysis Center)
• San Marcos Medical Equipment
• San Marcos Operating Company LP (Village Square Healthcare Center)
• San Marcos SNF Operator LLC (Village Square Healthcare Center)
• San Marcos Unified School District

• Adult Mental Health Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.