Organization · Type 2 NPI

Behavioral Mental Health PC

Clinical Psychologist · San Diego, CA

NPI number 1609828755 Active

Practice location

3111 Camino Del Rio N Ste 400
San Diego, CA 92108-5724

Mailing address

PO Box 2585
La Jolla, CA 92038-2585

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X060009174 (IL)
Clinical Psychologist Primary 103TC0700XNone listed
Health Service Clinic/Center 261QH0100XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1609828755

Behavioral Mental Health PC's National Provider Identifier is 1609828755, issued on May 17, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 24, 2026.