Individual provider Active NPI

Richard Scott Rhodes, PSY.D.

  • Psychologist
  • San Diego, CA
National Provider Identifier
1942385992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY9902 Issued in CA
Practice address
9255 Towne Centre Dr
Suite 370
San Diego, CA 92121-3033
Phone
(858) 202-0010
Fax
(858) 202-0010
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY9902 CA Primary

Addresses

Primary practice location

9255 Towne Centre Dr
Suite 370
San Diego, CA 92121-3033

Mailing address

9255 Towne Centre Dr
Suite 370
San Diego, CA 92121-3036
Phone (858) 202-0010

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
I20120525000536 CA Practitioner - Clinical Psychologist 6709049984 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9255 Towne Centre Dr
Suite 370
San Diego, CA 92121-3036
Phone (858) 202-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY9902CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Self Image Systems, Inc. PastSince Dec 12, 2007 Accepting new patients

Organizations & group practices 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942385992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 TOWNE CENTRE DR",
            "address_2": "SUITE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213036",
            "telephone_number": "858-202-0010",
            "fax_number": "858-202-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 TOWNE CENTRE DR",
            "address_2": "SUITE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213033",
            "telephone_number": "858-202-0010",
            "fax_number": "858-202-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.