San Diego Psychotherapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY19888 Issued in CA

Legal business name

SAN DIEGO PSYCHOTHERAPY

Practice address

3821 Front St
San Diego, CA 92103-3019

Phone

(619) 269-2377

Fax

(619) 294-3225

NPI assigned

Sep 15, 2009

Last updated

Sep 15, 2009By 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. Shoshana SheaNPI 1770791881

Title

President

Phone

(619) 269-2377

Specialties & licenses 1

Addresses

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.

• Shoshana Shea, PH.D.

  • Clinical Psychologist
  • La Jolla, CA
  • NPI 1770791881
  Authorized official Same address or phone

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1821321324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 FRONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033019",
            "telephone_number": "619-269-2377",
            "fax_number": "619-294-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 FRONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033019",
            "telephone_number": "619-269-2377",
            "fax_number": "619-294-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-269-2377",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "PSY19888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Psychiatry, PC
• San Diego Psychological Couple Care, Inc. (San Diego Couple Care)
• San Diego Psychology & Telehealth
• San Diego Psychology Center (Deisy Cristina Boscan, Ph.D. Psychologist, Professional Corporation)
• San Diego Psychology Group, Inc
• San Diego Psychotherapy Services (SDPS)
• San Diego Pulmonary and Critical Care Medical Group Inc.
• San Diego Regional Head & Neck Center
• San Diego Regional Health Information Exchange (San Diego Health Connect)
• San Diego Regional P.E.T. Center, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.