Organization Active NPI

KMN Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1922864032
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KMN PSYCHOLOGY INC
Practice address
3760 Convoy St Ste 223
San Diego, CA 92111-3744
Phone
(858) 922-4946
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Max Ian DoshayNPI 1174958920
Title
Ceo
Phone
(858) 922-4946

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3760 Convoy St Ste 223
San Diego, CA 92111-3744

Mailing address

3760 Convoy St Ste 223
San Diego, CA 92111-3744

National Provider Directory

National Provider Directory

Locations

3760 Convoy St
Ste 223
San Diego, CA 92111
Phone (858) 922-4946

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": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1922864032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 223",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 223",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113744",
            "telephone_number": "858-922-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMN PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "DOSHAY",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-922-4946"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Feb 26, 2024; 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.