Shirley J Siskowic, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PSYCHOLOGY 18442 Issued in CA

Practice address

4550 Kearny Villa Rd
Psycare Ste.116
San Diego, CA 92123-1578

Phone

(858) 279-1223

Fax

(858) 279-6154

NPI assigned

Dec 5, 2005

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)

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.

• Atlanta Counseling Center

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1942474184
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1912981879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 RIVIERA DR",
            "address_2": "UNIT 603",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095829",
            "telephone_number": "858-270-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD",
            "address_2": "PSYCARE STE.116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231578",
            "telephone_number": "858-279-1223",
            "fax_number": "858-279-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISKOWIC",
        "first_name": "SHIRLEY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSYCHOLOGY 18442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Sisario, BCAT
• Michael J. Sise, M.D.
• Matthew Paul Sisitki, MD
• Andre Dominic Sisk
• Brady Gordon Sisk
• Daniel Sison
• Krystal Cachola Otamias Sison
• Patrick Cabatuando Sison
• Christa Totty Sisson, MCD, CCC-SLP
• Igor Sister, M.D.

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.