NPIMap

Organization Active NPI

Dana Fillmore, Psy.D., a Professional Psychology Corporation

  • Community/Behavioral Health Agency
  • Del Mar, CA
National Provider Identifier
1740463553
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY16714 Issued in CA
Legal business name
DANA FILLMORE, PSY.D., A PROFESSIONAL PSYCHOLOGY CORPORATION
Practice address
2262 Carmel Valley Rd
Suite D
Del Mar, CA 92014-3751
Phone
(858) 755-7844
NPI assigned
Dec 14, 2007
Last updated
Sep 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Dr. Dana Marie Fillmore, PSY.D.NPI 1891912887
Title
Owner
Phone
(858) 755-7844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY16714 CA Primary

Addresses

Primary practice location

2262 Carmel Valley Rd
Suite D
Del Mar, CA 92014-3751

Mailing address

2262 Carmel Valley Rd
Suite D
Del Mar, CA 92014-3751
Phone (858) 755-7844

National Provider Directory

National Provider Directory

Locations

2262 Carmel Valley Rd
Ste D
Del Mar, CA 92014
Phone (858) 240-8400

3576 3rd Ave
San Diego, CA 92103
Phone (619) 294-9535

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1740463553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 CARMEL VALLEY RD",
            "address_2": "SUITE D",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143751",
            "telephone_number": "858-755-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 CARMEL VALLEY RD",
            "address_2": "SUITE D",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143751",
            "telephone_number": "858-755-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA FILLMORE, PSY.D., A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "FILLMORE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-755-7844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY16714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.