Individual provider Active NPI

Beverly Ann Dexter, PH.D.

  • Clinical Psychologist
  • Valley Center, CA
National Provider Identifier
1740251479
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 24088 Issued in CA
Practice address
14233 Coeur D Alene CT
Valley Center, CA 92082-6668
Phone
(858) 442-9170
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35-576 MS
Clinical Psychologist 103TC0700X PSY 24088 CA Primary
Clinical Psychologist 103TC0700X 24038 CA

Addresses

Primary practice location

14233 Coeur D Alene CT
Valley Center, CA 92082-6668

Mailing address

14233 Coeur D Alene CT
Valley Center, CA 92082-6668
Phone (858) 442-9170

Other practice location 1

8880 Rio San Diego Dr Ste 800
San Diego, CA 92108-1642
Phone (858) 442-9170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20250423002498 CA Practitioner - Clinical Psychologist 5698096436 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 24088CAMDClinical Psychologist
35-576MSMDClinical Psychologist
24088CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope for Healers CurrentSince Feb 9, 2025 Accepting new patients

Locations

12396 World Trade Dr
Ste 204
San Diego, CA 92128
Phone (619) 327-9317

11650 Iberia Pl
Ste 135
San Diego, CA 92128
Phone (760) 705-4641

711 Center Dr
San Marcos, CA 92069
Phone (760) 402-9103

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1740251479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14233 COEUR D ALENE CT",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826668",
            "telephone_number": "858-442-9170",
            "fax_number": "619-209-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14233 COEUR D ALENE CT",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826668",
            "telephone_number": "858-442-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8880 Rio San Diego Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081642",
            "country_code": "US",
            "telephone_number": "858-442-9170",
            "fax_number": "619-209-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "35-576",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 24088",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

Verify at the official NPI Registry.