Active NPI
Alyssa Teeter-Witt, PSY.D.
- Clinical Psychologist
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31075
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31075 | CA | MD | Clinical Psychologist |
| 31075 | CA | MD | General Practice Dentistry |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
-
- Community/Behavioral Health Agency
- Oceanside, CA
- NPI 1174746838
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.