SJC Behavioral Health

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 24668 Issued in CA

Legal business name

SJC BEHAVIORAL HEALTH

Practice address

2333 Camino de Rio S
160
San Diego, CA 92108

Phone

(619) 342-4155

NPI assigned

Dec 15, 2015

Last updated

Dec 15, 2015By 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. Steven Covelluzzi, PSY.D.

Title

Owner / Clinical Psychologist

Phone

(619) 342-4155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1851756001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S STE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083617",
            "telephone_number": "619-342-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DE RIO S",
            "address_2": "160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-342-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJC BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "COVELLUZZI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER / CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-342-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 24668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.