Carla Payne, Psychology, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY24538 Issued in CA

Legal business name

CARLA PAYNE, PSYCHOLOGY, INC.

Practice address

2525 Camino del Rio S. #245
San Diego, CA 92108

Phone

(858) 922-3803

Fax

(951) 658-5857

NPI assigned

Aug 8, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Linda Carol Lindley

Title

Billing Dept

Phone

(951) 652-0308

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Carla Marie Payne, PSY.D

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1730359159
  Medicare reassignment NPD

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1841779154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7107 BROADWAY PMB 335",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "91945",
            "telephone_number": "858-922-3803",
            "fax_number": "951-658-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S. #245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "858-922-3803",
            "fax_number": "951-658-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA PAYNE, PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "LINDLEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "BILLING DEPT",
        "authorized_official_telephone_number": "951-652-0308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Carino
• Emily Tessa Carl, DNP-A
• Justin Jon Phillip Carl, DDS
• Lori Carl
• Carla L. Young, M.D., Inc.
• Kathleen Ann Carleton, COTA
• William C. Carley, M.D.
• Aaron Foster Carlin, M.D., PH.D.
• Bre Carlin
• Cody Carlin, RBT

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.