SAN DIEGO PSYCHOLOGICAL & EDUCATIONAL SERVICES INC (NPI# 1548520471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548520471 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO PSYCHOLOGICAL & EDUCATIONAL SERVICES INC |
| Other Organization Name | NONE |
| Practice Address |
13525 Midland Rd Suite J Poway CA 92064-4771 |
| Mailing Address |
13525 Midland Rd Ste J Poway CA 92064-4772 |
| Practice Telephone | 7607897173 |
| Practice Fax Number | 7602301450 |
| Mailing Telephone | 7605192510 |
| Mailing Fax Number | 7602301450 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |
| Authorized Official Name | DR. CYRUS NAKHSHAB (OWNER) |
| Authorized Official Telephone | 7605192510 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15959 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| None | Doing Business As Name - Organization |
| Street Address |
13525 MIDLAND RD SUITE J |
| City | POWAY |
| State | CA |
| Zip Code | 92064-4771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132127 | William Sidney Combs | Dentist | 13525 Midland Rd, Ste A, Poway, CA 92064-4746 | 2005-05-24 |
| 1598056392 | Silvia Susana Grindle | Physician Assistant | 13525 Midland Rd, Suite F, Poway, CA 92064-4771 | 2011-04-27 |
| 1861727372 | Poway Medical Clinic, Incorporated | Clinic/Center | 13525 Midland Rd, Poway, CA 92064-4771 | 2009-10-16 |
| 1932371507 | Lorenzo Munoz | Internal Medicine | 13525 Midland Rd, Ste F, Poway, CA 92064-4772 | 2008-03-24 |
| 1093910069 | Deborah Singer Lewallen | Marriage & Family Therapist | 13525 Midland Rd, Poway, CA 92064-4771 | 2007-06-19 |
| 1336269398 | Mark Williams Stevens | Psychologist | 13525 Midland Rd, Suite J, Poway, CA 92064-4771 | 2007-03-30 |
| 1518024470 | Mary Ann Neumann | Marriage & Family Therapist | 13525 Midland Rd, Suite J, Poway, CA 92064-4771 | 2007-01-02 |
| 1215018718 | Jay Warner Dickson | Chiropractor | 13525 Midland Rd, Suite G, Poway, CA 92064-4771 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346615705 | Jaclyn Deilgat | Psychologist | 13733 Powers Rd, Poway, CA 92064-3617 | 2015-12-09 |
| 1407151301 | Hayley Silverman, Psy.d., Clinical Psychologist PC | Psychologist | 14781 Pomerado Rd # 152, Poway, CA 92064-2802 | 2011-01-24 |
| 1659497600 | Lisa Anita Davidson | Psychologist | 14015 Midland Rd, Poway, CA 92064-3959 | 2007-03-21 |
| 1770629248 | Madeline Polonia | Psychologist | 15525 Pomerado Rd Ste B1, Poway, CA 92064-2425 | 2007-01-30 |
| 1134228844 | Michael Raymond Burke | Psychologist | 15706 Pomerado Road, Suite S210, Poway, CA 92064 | 2006-09-21 |
| 1023128196 | Jeff Stephen Daly | Psychologist | 15725 Pomerado Rd Ste 107, Poway, CA 92064-2057 | 2006-08-30 |
| 1891717070 | Randy Jon Robinson | Psychologist | 15706 Promardo Rd., Ste. 210, Poway, CA 92064 | 2006-07-24 |
| 1043230808 | Dorothy J. Marron | Psychologist | 15525 Pomerado Rd Ste E4, Poway, CA 92064-2427 | 2006-07-21 |
| 1548241698 | Joan Carol Brentzel | Psychologist | 15706 Pomerado Rd, #210, Poway, CA 92064-2067 | 2005-11-07 |
| 1720565526 | Kimberly Nicole Skillicorn | Psychologist | 15644 Pomerado Rd, Poway, CA 92064-2400 | 2018-07-24 |
| Find all providers in POWAY | ||||
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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.