Active NPI
Jane M. Sweeney, PH.D.
- Clinical Psychologist
- Encinitas, CA
National Provider Identifier
1730120320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- CP11566
- Practice address
- 187 Calle Magdalena
Ste. #204
Encinitas, CA 92024-3709 - Phone
- (760) 924-2927
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11566 | CA | |
| Clinical Psychologist | 103TC0700X | CP11566 | CA | Primary |
Addresses
Primary practice location
187 Calle Magdalena
Ste. #204
Encinitas, CA 92024-3709
Mailing address
187 Calle Magdalena
Ste. #204
Encinitas, CA 92024-3709
Phone (760) 924-2927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 19, 2014 through Jul 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP11566 | CA | MD | Clinical Psychologist |
| PSY11566 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1730120320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 CALLE MAGDALENA",
"address_2": "STE. #204",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920243709",
"telephone_number": "760-924-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 CALLE MAGDALENA",
"address_2": "STE. #204",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920243709",
"telephone_number": "760-924-2927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "JANE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY11566",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "CP11566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.