PACIFIC PSYCHOLOGICAL SERVICES, INC. (NPI# 1568849214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568849214 |
Entity Type | Organization |
Organization Name | PACIFIC PSYCHOLOGICAL SERVICES, INC. |
Other Organization Name | KIM AJLOUNY, PSY.D. |
Practice Address |
265 Santa Helena Ste 214 Solana Beach CA 92075 |
Mailing Address |
2351 Manchester Ave Cardiff CA 92007-2009 |
Practice Telephone | 8584801661 |
Practice Fax Number | 8587123881 |
Mailing Telephone | 8582296986 |
Mailing Fax Number | 8587123881 |
Enumeration Date | 2015-05-01 |
Last Update Date | 2018-05-16 |
Authorized Official Name | DR. KIM AJLOUNY FORD (CIINICAL PSYCHOLOGIST/OWNER) |
Authorized Official Telephone | 8582296986 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PSY23171 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE PTAN | CW586A | 01 |
CA | MEDICARE PTAN | CB234246 | 01 |
Other Name | Type Code |
---|---|
Kim Ajlouny, Psy.D. | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2351 Manchester Ave, Cardiff, CA 920072009 | 8582296986 | 8587123881 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720236557 | Pacific Psychological Services, Inc. | Psychologist | 41690 Enterprise Cir N, Suite 104, Temecula, CA 92590-5616 | 2008-09-05 |
Street Address |
265 SANTA HELENA STE 214 |
City | SOLANA BEACH |
State | CA |
Zip Code | 92075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861721672 | Kim Ajlouny Ford | Psychologist | 265 Santa Helena Ste 214, Solana Beach, CA 92075 | 2009-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669092490 | Tara Tryphena Steinke | Naturopath | 124 Lomas Santa Fe Dr Ste 20b, Encinitas, CA 92075 | 2020-04-22 |
1336782085 | Jeremy Tiefenbrun | Behavior Technician | 992 1 C Lomas Santa Fe Dr Pmb 291, Solana Beach, CA 92075 | 2019-10-25 |
1851827927 | Amelia Rose Clark | Physician Assistant | 437 S. Highway 101 Suite 217, Solana Beach, CA 92075 | 2017-05-10 |
1518348317 | Kelly Pounds | Counselor | 2101 East First Street, Santa Ana, CA 92075 | 2015-06-17 |
1295114908 | Synapse Hearing Health, Inc. | Audiologist | 991 Lomas Santa Fe Drive, Suite A, Solana Beach, CA 92075 | 2015-05-27 |
1619381464 | Michael David Leiderman | Community Health Worker | 309 N Solana Hills Drive Apt #95, Solana Beach, CA 92075 | 2014-06-19 |
1881932879 | Edward S. Loh | Urology | 775 Beachfront Dr., Solana Beach, CA 92075 | 2013-01-25 |
1093076135 | Jodi Lee Abramowitz | Psychologist | 115 W Plaza St Ste 200, Solana Beach, CA 92075 | 2012-06-05 |
1710297692 | Aliza Danielle Cicerone | Naturopath | 124 Lomas Santa Fe Drive, Suite 206, Solana Beach, CA 92075 | 2010-10-13 |
1518273309 | Martin Landau-north | Marriage & Family Therapist | 731 South Highway 101, Suite 2j, Solana Beach, CA 92075 | 2010-08-31 |
Find all providers in zip 92075 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861970840 | Susan Iyican | Psychologist | 312 S Cedros Ave Ste 155, Solana Beach, CA 92075-1986 | 2018-08-01 |
1316168297 | Adrianne Claire Amantea | Psychologist | 731 S Highway 101 Ste 1e, Solana Beach, CA 92075-2628 | 2007-05-01 |
1093930265 | Hallie Ben-horin I | Psychologist | 462 Stevens Ave Ste 108, Solana Beach, CA 92075-2065 | 2007-04-14 |
1003939844 | San Diego Family Counseling | Psychologist | 341 South Cedros Ave, Ste D, Solana Beach, CA 92075-1985 | 2007-04-09 |
1518038561 | Nedra Z Glasser | Psychologist | 140 Marine View Ave, #101, Solana Beach, CA 92075-2122 | 2006-11-13 |
1831129691 | Linda Swanson Charles | Psychologist | 707 S Sierra Ave, #23, Solana Beach, CA 92075-2638 | 2006-07-04 |
1326099318 | Christauria Gillian Welland-akong | Psychologist | 990 Highland Dr, #103, Solana Beach, CA 92075-2408 | 2006-05-13 |
1346239662 | Linda Rae Mcgowan | Psychologist | 505 Lomas Santa Fe Dr, Solana Beach, CA 92075-1333 | 2005-10-19 |
1578946646 | Gordon Caras | Psychologist | 312 S Cedros Ave, 308, Solana Beach, CA 92075-1979 | 2015-07-07 |
1245635143 | Kylee O'toole | Psychologist | 530 Lomas Santa Fe Dr, Solana Beach, CA 92075-1349 | 2014-11-04 |
Find all providers in SOLANA BEACH |
City | SOLANA BEACH |
Zip Code | 92075 |
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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.