NPIMap

Organization Active NPI

San Diego State University Center for Autism and Developmental Disorders

  • Clinical Neuropsychologist
  • San Diego, CA
National Provider Identifier
1841136314
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
SAN DIEGO STATE UNIVERSITY CENTER FOR AUTISM AND DEVELOPMENTAL DISORDERS
Practice address
6363 Alvarado CT Ste 100
San Diego, CA 92120
Phone
(619) 594-2603
NPI assigned
Apr 27, 2026
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN DIEGO STATE UNIVERSITY FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Dr. Inna Fishman, PHDNPI 1598611717
Title
Director
Phone
(619) 594-2299

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
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

6363 Alvarado CT Ste 100
San Diego, CA 92120

Mailing address

6363 Alvarado CT Ste 100
San Diego, CA 92120

National Provider Directory

National Provider Directory
Part of
San Diego State University Center for Autism and Developmental Disorders

Locations

6363 Alvarado Ct
Ste 100
San Diego, CA 92120
Phone (619) 594-2299

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1841136314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 ALVARADO CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 ALVARADO CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92120",
            "telephone_number": "619-594-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO STATE UNIVERSITY CENTER FOR AUTISM AND DEVELOPMENTAL DISORDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN DIEGO STATE UNIVERSITY FOUNDATION",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-594-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "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 Apr 27, 2026; 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.