Divya Kakaiya, PH.D, M.S.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14052 Issued in CA

Practice address

5665 Oberlin Dr Ste 206
San Diego, CA 92121-1739

Phone

(858) 622-0221

Fax

(858) 622-0201

NPI assigned

Nov 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 30, 2024 through Apr 30, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, 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.

• Healthy Within Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1013393511
  NPD (past) Authorized official
• Healthy Within Wellness and Integrative Center

  • Addiction (Substance Use Disorder) Psychologist
  • San Diego, CA
  • NPI 1437416575
  NPD (past) Authorized official

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1891330254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 OBERLIN DR STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211739",
            "telephone_number": "858-622-0221",
            "fax_number": "858-622-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 OBERLIN DR STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211739",
            "telephone_number": "858-622-0221",
            "fax_number": "858-622-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAIYA",
        "first_name": "DIVYA",
        "name_prefix": "Dr.",
        "credential": "PH.D, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkakaiya@helathywithin.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5665 Oberlin Dr Ste 206",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921211739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sophia Anne Kaiser
• Wendy Weatherstone Kaiser, MFT
• Max Takuya Kaito, MD
• Kaizen Brain Center
• Stephen T Kajdasz, MD
• Saketh Kakarla
• Nathan Firas Kakish
• Agni Kakouri, MD
• Kala Peterson Chiropractic Inc
• Milica Kalaba, M.S, M.A

• 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 Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.