NPIMap

Organization Active NPI

Traverse Psychological Services

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1841649324
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26318 Issued in CA
Legal business name
TRAVERSE PSYCHOLOGICAL SERVICES
Practice address
2560 Northside Dr Apt 203
San Diego, CA 92108-6759
Phone
(858) 333-4353
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Dr. Danielle Kristina Dellner, PHDNPI 1629436506
Title
Licensed Psychologist
Phone
(310) 592-1125

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY26318 CA Primary

Addresses

Primary practice location

2560 Northside Dr Apt 203
San Diego, CA 92108-6759

Mailing address

2560 Northside Dr Apt 203
San Diego, CA 92108-6759

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1841649324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NORTHSIDE DR APT 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 NORTHSIDE DR APT 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086759",
            "telephone_number": "858-333-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERSE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "DELLNER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "KRISTINA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-592-1125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26318",
            "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 Jun 6, 2016; 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.