NPIMap

Organization Active NPI

Sage de Beixedon Breslin, PH.D.: Psychologist - a Professional Corp

Doing business as Healing Heart Center

  • Counseling Psychologist
  • Solana Beach, CA
National Provider Identifier
1801172879
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY14131 Issued in CA
Legal business name
SAGE DE BEIXEDON BRESLIN, PH.D.: PSYCHOLOGIST - A PROFESSIONAL CORP
Doing business as
Healing Heart Center
Practice address
990 Highland Dr
Suite100
Solana Beach, CA 92075-2408
Phone
(858) 481-8810
Fax
(858) 481-8816
NPI assigned
Oct 22, 2011
Last updated
Oct 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Authorized official

Name
Dr. Sage De Beixedon Breslin, PH.D.NPI 1144245515
Title
Ceo, Cfo / Licensed Psychologist
Phone
(858) 481-8810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY14131 CA Primary

Addresses

Primary practice location

990 Highland Dr
Suite100
Solana Beach, CA 92075-2408

Mailing address

990 Highland Dr
Suite100
Solana Beach, CA 92075-2408
Phone (858) 481-8810

Other names 1

  • Healing Heart Center Doing business as

National Provider Directory

National Provider Directory

Locations

990 Highland Dr
Ste 100
Solana Beach, CA 92075
Phone (858) 481-8810

Practitioners & affiliated clinicians

Practitioners 2

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": "1319241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1801172879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HIGHLAND DR",
            "address_2": "SUITE100",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752408",
            "telephone_number": "858-481-8810",
            "fax_number": "858-481-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HIGHLAND DR",
            "address_2": "SUITE100",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752408",
            "telephone_number": "858-481-8810",
            "fax_number": "858-481-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE DE BEIXEDON BRESLIN, PH.D.: PSYCHOLOGIST - A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "SAGE",
        "authorized_official_middle_name": "DE BEIXEDON",
        "authorized_official_title_or_position": "CEO, CFO / LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "858-481-8810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY14131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.