Susan Iyican, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY30208 Issued in CA

Practice address

312 S Cedros Ave Ste 155
Solana Beach, CA 92075-1986

Phone

(661) 567-7707

NPI assigned

Aug 1, 2018

Sex

Female

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 Couples Wellness Center

  • Clinical Psychologist
  • Oceanside, CA
  • NPI 1295437051
  NPD Authorized official

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1861970840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 AVENIDA DEL ORO UNIT 5935",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920520279",
            "telephone_number": "661-567-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S CEDROS AVE STE 155",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751986",
            "telephone_number": "661-567-7707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 La Jolla Village Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921610002",
            "country_code": "US",
            "telephone_number": "661-428-0667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYICAN",
        "first_name": "SUSAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Healing Center, Inc.
• Integrative Wellness Medical Group
• Ioana M Swikard OD a Professional Corporation
• Sarah Marie Isdaner, PT, DPT
• Jeffrey Alan Iverson, FNP
• Blaine Kenton Jackson, M.D.
• Lucas Jacobsen
• Debra Jedeikin, M.A. LMFT
• Michele Noel Jensen, MFT
• Merle Jimenez, NP

• Psychologist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.