Anne L Kleinsasser

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY33846 Issued in CA

Practice address

8989 Rio San Diego Dr # 36012
San Diego, CA 92108-1646

Phone

(619) 228-8038

NPI assigned

Jan 18, 2023

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1881309383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 RIO SAN DIEGO DR STE 360",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081605",
            "telephone_number": "619-228-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 RIO SAN DIEGO DR # 36012",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081646",
            "telephone_number": "619-228-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINSASSER",
        "first_name": "ANNE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY33846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGY",
            "identifier": "PSY33846",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anne.kleinsasser@va.gov",
            "affiliation": "N",
            "address_1": "8989 Rio San Diego Dr # 36012",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921081646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Klein
• Jillian Christine Kleine
• Benjamin Judah Kleinert, CMT
• Carol Kleinke, CFNP
• Lowell J Kleinman
• Connor Louis Kleis, RN
• Ellen Kleman
• Tahnee Camille Klemencic, NP
• Makeila Alexandria Klementich
• Sophie Klemond

• 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 Jan 18, 2023; 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.