Mitchell Edward Sanabria, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSB94028072 Issued in CA

Practice address

402 W Broadway Ste 1925
San Diego, CA 92101-8505

Phone

(619) 930-9060

NPI assigned

Jan 30, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr. Emily N. Kierce, Psychologist, a Professional Corporation

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1225697543
  NPD

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1952164386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 1925",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018505",
            "telephone_number": "619-930-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BROADWAY STE 1925",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018505",
            "telephone_number": "619-930-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 El Camino Real Ste G",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920082110",
            "country_code": "US",
            "telephone_number": "619-816-2267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANABRIA",
        "first_name": "MITCHELL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94028072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina San Nicolas
• Gabriel Jose San Pedro, IDC
• April San Roman, LMFT
• Said Raqib Sana, MD
• Anita Asencion Sanabria
• Stephen Erasmo Sanabria, OD
• Rachel Lynn Sanacora, MSN, APRN, CPNP-PC
• Nilofar Sanaiha, D.O.
• Jenna Rebekah Sanborn, LAC, MSTOM
• Julie Ellen Sanborn, MS, RD

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.