Joseph Severino, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25239 Issued in CA

Practice address

8885 Rio San Diego Dr Ste 365
San Diego, CA 92108-1627

Phone

(408) 655-9288

NPI assigned

Jan 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The LGBT Community Center

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1811237928
  NPD (past)
• The San Diego LGBT Community Center

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1922379049
  NPD (past)

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1851662977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 365",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081627",
            "telephone_number": "408-655-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 365",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081627",
            "telephone_number": "408-655-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERINO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel M Sevem, PHARM.D.
• Sean Sevem, PHARM. D.
• Patricia Sevener, MT
• Tamara A Severance, NP
• Aimee Taylor Severe, MFT
• Stephen Sevier, I.D.C
• Marc Damien Sevigny, SFIDC
• Priscila Sevil, DMD
• Bianey Jauregui Sevilla
• Briana Sevilla

• All providers in San Diego, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.