Alpha Theta Center, Inc
Psychologist

Address: 6540 Lusk Blvd Ste C175, San Diego, CA 92121-2768
Phone: 8589527660

Alpha Theta Center, Inc (NPI# 1215572003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1215572003
Entity Type Organization
Organization Name ALPHA THETA CENTER, INC
Practice Address 6540 Lusk Blvd Ste C175
San Diego
CA 92121-2768
Practice Telephone 8589527660
Mailing Address 6540 Lusk Blvd Ste C175
San Diego
CA 92121-2768
Mailing Telephone 8589527660
Authorized Official Name Michael Villanueva (CEO/CLINIC DIRECTOR)
Authorized Official Telephone 8589527660
Authorized Official Credential PHD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-15
Last Update Date 2019-11-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103T00000X Psychologist Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740825686 Jill Allison Cooley Psychologist 8543 Old Stonefield Chase, San Diego, CA 92127-6133 2019-11-14
1093350456 Annie Lin Psychologist 10531 4s Commons Dr # 530, San Diego, CA 92127-3517 2019-11-08
1164066072 Elizabeth Kristin Stanton Psychologist 1650 Hotel Cir N Ste 203, San Diego, CA 92108-2818 2019-11-04
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1225505480 Margaret Marie Williams Psychologist 4010 Sorrento Valley Blvd Ste 400, San Diego, CA 92121-1433 2018-10-25
1841779154 Carla Payne, Psychology, Inc. Psychologist 2525 Camino Del Rio S. #245, San Diego, CA 92108 2018-08-08
1689160491 Jennifer C. Wendt, Ph.d., Psychological Services, Inc. Psychologist 10531 4s Commons Dr Ste 477, San Diego, CA 92127-3517 2018-07-04
1952812752 Heidi Dawn Psychologist 3584 Grim Ave, San Diego, CA 92104-4227 2017-10-19
1437668753 Vanessa Lee Moynahan Psychologist 34800 Bob Wilson Dr Naval Medical Center San Diego, San Diego, CA 92134-0001 2017-09-29
1568981678 Ross Psychology Psychologist 4883 Ronson Court, Suite K, San Diego, CA 92111 2017-09-11
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Office Location

Street Address 6540 LUSK BLVD STE C175
City SAN DIEGO
State CA
Zip Code 92121-2768

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1609432244 Ramon Hernandez Behavior Technician 3978 Sorrento Valley Blvd., Ste 100, San Diego, CA 92121 2019-05-18
1720643299 Megan Jean Bathen Behavior Technician Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 2019-05-09
1346804366 Daniel Melita Massage Therapist 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 2019-04-25
1831674464 Stepahnie Becerra Behavior Technician 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 2018-09-28
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Competitor

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City SAN DIEGO
Zip Code 92121

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Dataset Information

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.

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