Individual provider Active NPI

Kristin Steele, PSY.D

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1710284666
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26112 Issued in CA
Practice address
2667 Camino del Rio S
Suite 110-2
San Diego, CA 92108-3707
Phone
(619) 851-2479
Fax
(858) 637-6959
NPI assigned
Feb 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 26112 CA
Clinical Psychologist 103TC0700X 26112 CA Primary
Cognitive & Behavioral Psychologist 103TB0200X 26112 CA
Group Psychotherapy Psychologist 103TP2701X 26112 CA
Rehabilitation Psychologist 103TR0400X 26112 CA
Clinical Child & Adolescent Psychologist 103TC2200X 26112 CA

Addresses

Primary practice location

2667 Camino del Rio S
Suite 110-2
San Diego, CA 92108-3707

Mailing address

2667 Camino del Rio S
110-2
San Diego, CA 92108-3707
Phone (619) 851-2479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Together Tree, a Professional Psychological Organization Current Accepting new patients
San Diego Wellness and Recovery Addiction (Substance Use Disorder) Current Accepting new patients
Robert Zalewski-Zaragoza, MD, Inc Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1710284666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 CAMINO DEL RIO S",
            "address_2": "110-2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083707",
            "telephone_number": "619-851-2479",
            "fax_number": "858-637-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 CAMINO DEL RIO S",
            "address_2": "SUITE 110-2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083707",
            "telephone_number": "619-851-2479",
            "fax_number": "858-637-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "26112",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26112",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "26112",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "26112",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "26112",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "26112",
            "primary": false
        }
    ],
    "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 Jun 4, 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.

Verify at the official NPI Registry.