Paul Standal, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21606 Issued in CA

Practice address

4452 Park Blvd
212
San Diego, CA 92116-4051

Phone

(858) 775-2501

Fax

(619) 684-5459

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1992832109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 PARK BLVD",
            "address_2": "212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164051",
            "telephone_number": "858-775-2501",
            "fax_number": "619-684-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 PARK BLVD",
            "address_2": "212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164051",
            "telephone_number": "858-775-2501",
            "fax_number": "619-684-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDAL",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian Stanciu
• Joseph Lawrence Stanco Jr., IDC
• Lorraine M Stanco, MD
• Esther A Stanczak
• Stand Up Chiropractic
• Natasha L Standard
• Nyani Standard
• Courtney Standish
• Wasem Staneksay
• Jill Stanfield-Jones

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.

Verify at the official NPI Registry.