Individual provider · Type 1 NPI

Samantha Burnside

Psychologist · San Diego, CA

NPI number 1639755994 Active

Practice location

8808 Balboa Ave
San Diego, CA 92123-1592

Call (619) 532-8225 Map

Fax (619) 645-0193

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY36603 (CA)

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 adjustmen…

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About NPI 1639755994

Samantha Burnside's National Provider Identifier is 1639755994, issued on Mar 18, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 23, 2026.