Organization Active NPI

Devoss Psychology, Inc

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1790051704
Registry record updated Mar 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8983 Issued in CA
Legal business name
DEVOSS PSYCHOLOGY, INC
Practice address
3830 Valley Centre Dr
Ste 705-931
San Diego, CA 92130-3320
Phone
(858) 356-9093
Fax
(858) 356-9093
NPI assigned
Mar 25, 2012
Last updated
Mar 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2012

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

Authorized official

Name
Gary Devoss, PH.D.
Title
Owner
Phone
(858) 356-9093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY8983 CA Primary

Addresses

Primary practice location

3830 Valley Centre Dr
Ste 705-931
San Diego, CA 92130-3320

Mailing address

3830 Valley Centre Dr
Ste 705-931
San Diego, CA 92130-3320
Phone (858) 356-9093

National Provider Directory

National Provider Directory

Locations

3830 Valley Centre Dr
Ste 705931
San Diego, CA 92130
Phone (858) 356-9093

NPI Registry JSON

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332633600000",
    "number": "1790051704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR",
            "address_2": "STE 705-931",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303320",
            "telephone_number": "858-356-9093",
            "fax_number": "858-356-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR",
            "address_2": "STE 705-931",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303320",
            "telephone_number": "858-356-9093",
            "fax_number": "858-356-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOSS PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-25",
        "last_updated": "2012-03-25",
        "status": "A",
        "authorized_official_last_name": "DEVOSS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-356-9093",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2012; 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.