Organization Active NPI

Mission Valley Psychology, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1962958090
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY27130 Issued in CA
Legal business name
MISSION VALLEY PSYCHOLOGY, INC.
Practice address
2667 Camino del Rio S Ste 105
San Diego, CA 92108-3763
Phone
(516) 330-1102
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Ashley QuirozNPI 1689024994
Title
Owner
Phone
(516) 330-1102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY27130 CA Primary

Addresses

Primary practice location

2667 Camino del Rio S Ste 105
San Diego, CA 92108-3763

Mailing address

9210 Bramble Rd
La Mesa, CA 91942-3500
Phone (516) 330-1102

National Provider Directory

National Provider Directory

Locations

2667 Camino del Rio S
Ste 105
San Diego, CA 92108
Phone (516) 330-1102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1962958090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 BRAMBLE RD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423500",
            "telephone_number": "516-330-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 CAMINO DEL RIO S STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083763",
            "telephone_number": "516-330-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-330-1102"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY27130",
            "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 Mar 10, 2025; 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.