Active NPI
Jacquelyn Szajer, PH.D.
- Psychologist
- San Diego, CA
National Provider Identifier
1952099004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY33943
- Practice address
- 10021 Willow Creek Rd Ste 200
San Diego, CA 92131-1670 - Phone
- (310) 571-8130
- NPI assigned
- Apr 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY33943 | CA | Primary |
Addresses
Primary practice location
10021 Willow Creek Rd Ste 200
San Diego, CA 92131-1670
Mailing address
10021 Willow Creek Rd Ste 200
San Diego, CA 92131-1670
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4015 Louisiana St
Unit 4
San Diego, CA 92104-2434
Phone (858) 228-7422
6190 Cornerstone CT E
Suite 216
San Diego, CA 92121-4701
Phone (858) 914-1347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33943 | CA | MD | Psychologist |
| 33943 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minder Neuropsychological Services Inc. | Psychologist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba Minder Memory Center
- Psychologist
- San Diego, CA
- NPI 1316637200
-
- Psychologist
- San Diego, CA
- NPI 1427458710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1952099004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10021 WILLOW CREEK RD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10021 WILLOW CREEK RD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311670",
"telephone_number": "310-571-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZAJER",
"first_name": "JACQUELYN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY33943",
"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 Jan 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.