Southcoast Psychological Associates, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOUTHCOAST PSYCHOLOGICAL ASSOCIATES, INC.

Practice address

2011 Palomar Airport Rd
205
Carlsbad, CA 92011-1430

Phone

(949) 248-0508

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vesna Radojevic, PHD

Title

Owner

Phone

(949) 248-0508

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760699714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 UNIVERSITY AVE",
            "address_2": "213",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416000",
            "telephone_number": "619-464-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 PALOMAR AIRPORT RD",
            "address_2": "205",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111430",
            "telephone_number": "949-248-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCOAST PSYCHOLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADOJEVIC",
        "authorized_official_first_name": "VESNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-248-0508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.