Organization Active NPI

Benjamin Alpert, PSYD, a Psychological Corporation

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1730711375
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BENJAMIN ALPERT, PSYD, A PSYCHOLOGICAL CORPORATION
Practice address
2525 Camino del Rio S Ste 305 Office2
San Diego, CA 92108-3717
Phone
(845) 570-1278
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Benjamin Alpert, PSYDNPI 1205114550
Title
Clinical Psychologist
Phone
(587) 514-3688

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X

Addresses

Primary practice location

2525 Camino del Rio S Ste 305 Office2
San Diego, CA 92108-3717

Mailing address

2525 Camino del Rio S
Ste 305 Office 2
San Diego, CA 92108-3717
Phone (845) 570-1278

Other identifiers 1

IdentifierTypeStateIssuer
1205114550OtherMACLINICAL PSYCHOLOGY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Unsure

National Provider Directory

National Provider Directory

Locations

2525 Camino del Rio S
Ste 305
San Diego, CA 92108
Phone (619) 630-0646

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1730711375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S",
            "address_2": "STE 305 OFFICE 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083717",
            "telephone_number": "845-570-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S STE 305 OFFICE2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083717",
            "telephone_number": "845-570-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN ALPERT, PSYD, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "ALPERT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "587-514-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGY",
            "identifier": "1205114550",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Unsure",
            "affiliation": "N",
            "address_1": "2525 Camino Del Rio S Ste 305 Office2",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921083717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 17, 2024; 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.