Organization Active NPI

Agapi Psychology, Inc.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1871216622
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AGAPI PSYCHOLOGY, INC.
Practice address
2555 Camino del Rio S Ste 208
San Diego, CA 92108-3704
Phone
(619) 363-5699
Fax
(619) 354-7341
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Kasiani MichalopoulosNPI 1811335128
Title
Owner/Psychologist
Phone
(619) 363-5699

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 Primary

Addresses

Primary practice location

2555 Camino del Rio S Ste 208
San Diego, CA 92108-3704

Mailing address

2555 Camino del Rio S Ste 208
San Diego, CA 92108-3704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230501002929 CA Part B Supplier - Clinic/Group Practice 2860857695 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

2555 Camino del Rio S
Ste 208
San Diego, CA 92108
Phone (619) 363-5699

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": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1871216622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 CAMINO DEL RIO S STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083704",
            "fax_number": "619-354-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CAMINO DEL RIO S STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083704",
            "telephone_number": "619-363-5699",
            "fax_number": "619-354-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPI PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "MICHALOPOULOS",
        "authorized_official_first_name": "KASIANI",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-363-5699"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Sep 26, 2022; 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.