Centro de Psicologia Cultural, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

19752 Issued in CA

Legal business name

CENTRO DE PSICOLOGIA CULTURAL, INC

Practice address

6136 Mission Gorge Rd
Suite 129
San Diego, CA 92120-3494

Phone

(619) 282-4270

Fax

(619) 282-4272

NPI assigned

Aug 9, 2010

Last updated

Aug 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sonia I. CarbonellNPI 1902976343

Title

President

Phone

(619) 282-4270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Sonia Carbonell, PSYD

  • Forensic Psychologist
  • San Diego, CA
  • NPI 1902976343
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1770898298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 MISSION GORGE RD",
            "address_2": "SUITE 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203494",
            "telephone_number": "619-282-4270",
            "fax_number": "619-282-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 MISSION GORGE RD",
            "address_2": "SUITE 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203494",
            "telephone_number": "619-282-4270",
            "fax_number": "619-282-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE PSICOLOGIA CULTURAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "CARBONELL",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-282-4270",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "19752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.