Individual provider Active NPI

Alyssa Teeter-Witt, PSY.D.

  • Clinical Psychologist
  • Escondido, CA
National Provider Identifier
1932308442
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31075 Issued in CA
Practice address
426 N Date St
Escondido, CA 92025-3409
Phone
(760) 690-5900
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Psychologist 103TC0700X PSY31075 CA Primary

Addresses

Primary practice location

426 N Date St
Escondido, CA 92025-3409

Mailing address

426 N Date St
Escondido, CA 92025-3409
Phone (760) 690-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302001067 CA Practitioner - Clinical Psychologist 8325432677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY31075CAMDClinical Psychologist
31075CAMDGeneral Practice Dentistry

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Oct 13, 2021 Accepting new patients
Neighborhood Healthcare CurrentSince Oct 13, 2021 Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Community Research Foundation Inc Clinical Past Accepting new patients

Locations

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

426 N Date St
Escondido, CA 92025
Phone (760) 690-5900

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

425 N Date St
#0
Escondido, CA 92025

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1932308442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253409",
            "telephone_number": "760-690-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253409",
            "telephone_number": "760-690-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETER-WITT",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2022-02-03",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.