San Diego Family Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SAN DIEGO FAMILY SERVICES

Practice address

1104 Camino del Mar
Suite 107
Del Mar, CA 92014-2656

Phone

(877) 880-7337

Fax

(858) 923-1121

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christy Wise, PSY.D.

Title

Director

Phone

(877) 880-7337

Specialties & licenses 9

Addresses

Locations

Practitioners 5

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

• Michelle Detsch, PSY.D.

  • Psychologist
  • Del Mar, CA
  • NPI 1508199233
  NPD (past)
• Sally A Dhahbi, PHD

  • Clinical Psychologist
  • Riverside, CA
  • NPI 1326337338
  NPD (past)
• Iren Fellegvari, PSY.D, MFT, CADCII,

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1568538825
  NPD (past)
• Lasonia Recheal Stewart-Brown, L.C.S.W.

  • Clinical Social Worker
  • Vista, CA
  • NPI 1326211954
  NPD (past)
• Shawn Worrlein, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1588684880
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1720101082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CAMINO DEL MAR",
            "address_2": "SUITE 107",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142656",
            "telephone_number": "877-880-7337",
            "fax_number": "858-923-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 CAMINO DEL MAR",
            "address_2": "SUITE 107",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142656",
            "telephone_number": "877-880-7337",
            "fax_number": "858-923-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-880-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A. Rutley, DDS
• Thomas J. Sabourin, M.D.
• Antone F Salel, M.D.
• Nathan Michael Samskey, PHARMD
• Heidi Samuelian, LMFT
• San Diego Health Psychology and Wellness
• San Diego Therapy Care
• Renato Sanchez
• Jace Alexander Sandell, ND
• Jennifer Samantha Sandoval, PSY.D.

• Clinical Psychologist in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.