Individual provider Active NPI

Marci Lynn Allen, PH.D.

  • Clinical Psychologist
  • Chula Vista, CA
National Provider Identifier
1730873993
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34073 Issued in CA
Practice address
780 Bay Blvd Ste 203
Chula Vista, CA 91910-5261
Phone
(619) 842-2442
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY34073 CA Primary

Addresses

Primary practice location

780 Bay Blvd Ste 203
Chula Vista, CA 91910-5261

Mailing address

780 Bay Blvd Ste 203
Chula Vista, CA 91910-5261
Phone (619) 842-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225002956 CA Practitioner - Clinical Psychologist 5698295301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

780 Bay Blvd
Suite 203
Chula Vista, CA 91910-5261
Phone (619) 842-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34073CAMDMental Health Counselor
PSY34073CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zalewski-Zaragoza Professional Corporation CurrentSince Jan 1, 2025 Accepting new patients

Locations

780 Bay Blvd
Ste 203
Chula Vista, CA 91910
Phone (619) 255-1652

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1730873993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 BAY BLVD STE 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105261",
            "telephone_number": "619-842-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 BAY BLVD STE 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105261",
            "telephone_number": "619-842-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARCI",
        "middle_name": "LYNN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.