Individual provider · Type 1 NPI

Alexis Roncevich

Psychologist · San Diego, CA

NPI number 1689123150 Active

Practice location

9246 Lightwave Ave Ste 120
San Diego, CA 92123-6411

Mailing address

2093 Silverado St
San Marcos, CA 92078-3201

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY61551114 (WA)
Psychologist 103T00000XPSY36283 (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 1689123150

Alexis Roncevich's National Provider Identifier is 1689123150, issued on Sep 26, 2016. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Diego, CA. The record was last updated on Apr 5, 2026.