| San Diego Psychology & Assessment Services | |
|
8775 Aero Dr Suite 238 San Diego CA 92123-1792 | |
| (855) 629-7272 | |
| (619) 269-9245 |
| Full Name | San Diego Psychology & Assessment Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 8775 Aero Dr, San Diego, California |
| Authorized Official Name and Position | Saurabh Gupta (CEO) |
| Authorized Official Contact | 6195379345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Psychology & Assessment Services 8775 Aero Dr Ste 238 San Diego CA 92123-1756 Ph: (619) 930-9524 | San Diego Psychology & Assessment Services 8775 Aero Dr Suite 238 San Diego CA 92123-1792 Ph: (855) 629-7272 |
| NPI Number | 1386066363 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/14/2022 |
| Medicare PECOS PAC ID | 6406170653 |
|---|---|
| Medicare Enrollment ID | O20150119000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386066363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY 24218 (California) | Primary |
| Provider Name | Olga Vasilyevna Becker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083644710 PECOS PAC ID: 0547249831 Enrollment ID: I20040719001632 |
| Provider Name | Stacy K Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063569135 PECOS PAC ID: 1153395298 Enrollment ID: I20040824000570 |
| Provider Name | Zaccario M Tramontana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356658223 PECOS PAC ID: 5496935835 Enrollment ID: I20110202000394 |
| Provider Name | Saurabh Gupta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356637185 PECOS PAC ID: 7911177480 Enrollment ID: I20110819000554 |
| Provider Name | Murray B Rudenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336368331 PECOS PAC ID: 4183872229 Enrollment ID: I20120917000041 |
| Provider Name | Ashraf F Fanous |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083830350 PECOS PAC ID: 4284729872 Enrollment ID: I20121003000418 |
| Provider Name | Gal Goldwaser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801104831 PECOS PAC ID: 9234379850 Enrollment ID: I20130702000683 |
| Provider Name | Anushree Parashar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861622052 PECOS PAC ID: 1456577642 Enrollment ID: I20140724000425 |
| Provider Name | Nichole Antoinette Duarte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902039555 PECOS PAC ID: 1658697834 Enrollment ID: I20150305001553 |
| Provider Name | Ryan Kaner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568745925 PECOS PAC ID: 7315254836 Enrollment ID: I20150916001519 |
| Provider Name | Judy Lamb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710117262 PECOS PAC ID: 2365741949 Enrollment ID: I20160503001828 |
| Provider Name | Bianca Cabrera Karris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730400375 PECOS PAC ID: 6507137627 Enrollment ID: I20170808003964 |
| Provider Name | Patricia G Cline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174753073 PECOS PAC ID: 0648311274 Enrollment ID: I20170913003943 |
| Provider Name | Carolyn C Ross |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1386785657 PECOS PAC ID: 6406992387 Enrollment ID: I20181003001923 |
| Provider Name | Kevin T Holleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639475437 PECOS PAC ID: 5193061240 Enrollment ID: I20190109003358 |
| Provider Name | Joe I Sasson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700138559 PECOS PAC ID: 9537408430 Enrollment ID: I20190311000715 |
| Provider Name | Shabina Lallani Skiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205118650 PECOS PAC ID: 6507107836 Enrollment ID: I20190413000005 |
| Provider Name | Alexis Stanley-olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912315037 PECOS PAC ID: 7113269341 Enrollment ID: I20190508001810 |
| Provider Name | Nastassja R Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821393026 PECOS PAC ID: 9234464777 Enrollment ID: I20190705000803 |
| Provider Name | Sean M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023492352 PECOS PAC ID: 1254660889 Enrollment ID: I20190909000802 |
| Provider Name | Kelly Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861767386 PECOS PAC ID: 3375979149 Enrollment ID: I20200214001749 |
| Provider Name | Michael J Bjornson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558411025 PECOS PAC ID: 0547295271 Enrollment ID: I20200218001874 |
| Provider Name | Adeleine C Liang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720393242 PECOS PAC ID: 7810328499 Enrollment ID: I20200514002398 |
| Provider Name | Tien V Phan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497097950 PECOS PAC ID: 1850709734 Enrollment ID: I20210413002529 |
| Provider Name | Sopagna Eap-braje |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639380215 PECOS PAC ID: 7113310566 Enrollment ID: I20220207001294 |
| Provider Name | Robert Lee Teel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659677029 PECOS PAC ID: 4284061706 Enrollment ID: I20221114002906 |
| Provider Name | Lakshmi R Appachar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508574138 PECOS PAC ID: 2860864063 Enrollment ID: I20230216002588 |
| Provider Name | Katrice Christine Maliszewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073002911 PECOS PAC ID: 4587023841 Enrollment ID: I20230705000573 |
| Provider Name | Andrew Mortimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932491206 PECOS PAC ID: 3274979059 Enrollment ID: I20240314004359 |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
The Center For Behavior Change, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7676 Hazard Center Dr Ste 500, San Diego, CA 92108 Phone: 619-876-8261 | |
R D Dipp Do Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
Alba Community School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Oregon St, San Diego, CA 92104 Phone: 619-521-5720 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Adapt Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6070 Mission Gorge Rd, San Diego, CA 92120 Phone: 619-957-0888 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |