Active NPI
San Diego Psychotherapy Group, Inc.
- Clinical Psychologist
- La Mesa, CA
National Provider Identifier
1700824471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19378
- Legal business name
- SAN DIEGO PSYCHOTHERAPY GROUP, INC.
- Practice address
- 5520 Wellesley St
Suite 107
La Mesa, CA 91942-4431 - Phone
- (619) 466-0547
- Fax
- (619) 466-2609
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karlyn Marie Pleasants, PSY.D.
- Title
- President
- Phone
- (619) 708-4033
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY19378 | CA | Primary |
Addresses
Primary practice location
5520 Wellesley St
Suite 107
La Mesa, CA 91942-4431
Mailing address
5520 Wellesley St
Suite 107
La Mesa, CA 91942-4431
Phone (619) 466-0547
National Provider Directory
National Provider DirectoryLocations
5520 Wellesley St
Ste 107
La Mesa, CA 91942
Phone (619) 466-0547
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- La Mesa, CA
- NPI 1184662850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403827200000",
"number": "1700824471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 WELLESLEY ST",
"address_2": "SUITE 107",
"city": "LA MESA",
"state": "CA",
"postal_code": "919424431",
"telephone_number": "619-466-0547",
"fax_number": "619-466-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 WELLESLEY ST",
"address_2": "SUITE 107",
"city": "LA MESA",
"state": "CA",
"postal_code": "919424431",
"telephone_number": "619-466-0547",
"fax_number": "619-466-2609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO PSYCHOTHERAPY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2014-06-27",
"status": "A",
"authorized_official_last_name": "PLEASANTS",
"authorized_official_first_name": "KARLYN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-708-4033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY19378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.