SAN DIEGO PSYCHOLOGY CENTER (NPI# 1386086478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386086478 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO PSYCHOLOGY CENTER |
| Other Organization Name | DEISY CRISTINA BOSCAN, PH.D. PSYCHOLOGIST, PROFESSIONAL CORPORATION |
| Practice Address |
2870 4th Ave 101 San Diego CA 92103-6298 |
| Practice Telephone | 6192971750 |
| Practice Fax Number | 6192970470 |
| Mailing Telephone | 6192971750 |
| Mailing Fax Number | 6192970470 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |
| Authorized Official Name | DR. DEISY CRISTINA BOSCAN (PSYCHOLOGIST) |
| Authorized Official Telephone | 6192971750 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
PSY18873 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Deisy Cristina Boscan, Ph.D. Psychologist, Professional Corporation | Doing Business As Name - Organization |
| Street Address |
2870 4TH AVE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-6298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790719573 | Lydia F. Lewis | Social Worker | 2870 4th Ave, Suite 200, San Diego, CA 92103-6298 | 2006-07-10 |
| 1609145358 | Laura Georgi Distefano | Social Worker | 2870 4th Ave, Suite 200, San Diego, CA 92103-6298 | 2011-12-27 |
| 1013170265 | Cher S. Rafiee | Counselor | 2870 4th Ave, Ste 101, San Diego, CA 92103-6298 | 2008-07-08 |
| 1295938074 | Kimberly Eileen Wagner | Counselor | 2870 4th Ave, Suite 101, San Diego, CA 92103-6298 | 2007-06-07 |
| 1770621831 | Therese Harrold Adair | Social Worker | 2870 4th Ave, Suite 200, San Diego, CA 92103-6298 | 2007-02-01 |
| 1477604890 | Ava Torre-bueno | Social Worker | 2870 4th Ave, San Diego, CA 92103-6298 | 2007-01-13 |
| 1831114263 | Joanne I Mason | Marriage & Family Therapist | 2870 4th Ave, Suite 200, San Diego, CA 92103-6298 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730710567 | Inspired Psychology Inc | Clinic/Center | 2727 Camino Del Rio S Ste 340, San Diego, CA 92108-3741 | 2020-01-30 |
| 1164065033 | Preeti Presswala-shah, Marriage and Family Therapist, Inc | Clinic/Center | 6540 Lusk Blvd Ste C138a, San Diego, CA 92121-2767 | 2019-10-23 |
| 1932764164 | Whole Person-psychotherapy Inc. | Clinic/Center | 5230 Carroll Canyon Rd Ste 100, San Diego, CA 92121-1779 | 2019-05-02 |
| 1972065241 | Rogers Behavioral Health California, Inc | Clinic/Center | 17140 Bernardo Center Dr Ste 300, San Diego, CA 92128-2000 | 2019-04-04 |
| 1164915401 | New Alternatives Inc. | Clinic/Center | 8755 Aero Dr Ste 306&320, San Diego, CA 92123-1776 | 2018-06-12 |
| 1396240339 | A Mindful Healing Counseling Center | Clinic/Center | 2307 Fenton Pkwy # 107-239, San Diego, CA 92108-4746 | 2018-03-29 |
| 1386159374 | Learning To Be Human | Clinic/Center | 835 5th Ave Ste 407, San Diego, CA 92101-6137 | 2017-12-12 |
| 1194186544 | Telecare Corporation | Clinic/Center | 1660 Hotel Circle North, Suite 101, San Diego, CA 92108-2803 | 2016-03-14 |
| 1164671749 | Family Health Centers of San Diego, Inc. | Clinic/Center | 2130 National Ave, San Diego, CA 92113-2209 | 2008-09-18 |
| 1710069281 | Lds Family Services | Clinic/Center | 5675 Ruffin Road, Suite 325, San Diego, CA 92123-1391 | 2006-10-20 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.