F VICTORIA DICICCO PHD NPI 1003801457

Psychologist (Clinical) in San Diego, CA

Individual Female Psychologist Clinical

About F DICICCO

F Dicicco is a provider established in San Diego, California and her medical specialization is psychologist. The NPI number of F Dicicco is 1003801457 and was assigned on September 2005. The practitioner's primary taxonomy code is 103TC0700X with license number PSY7974 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI

1003801457

Provider Name F VICTORIA DICICCO PHD
Provider Location Address5190 GOVERNOR DR STE 108 SAN DIEGO, CA 92122
Provider Mailing Address5190 GOVERNOR DRIVE STE 108 SAN DIEGO, CA 92122
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-13-2005
Last Update Date12-06-2007

Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.PSY7974
License StateCA

Business Address

F VICTORIA DICICCO PHD
5190 GOVERNOR DR
STE 108
SAN DIEGO, CA
ZIP 92122
Phone: (858) 452-5800
Fax: (858) 546-0411

Get Directions

Mailing Address

F VICTORIA DICICCO PHD
5190 GOVERNOR DRIVE
STE 108
SAN DIEGO, CA
ZIP 92122
Phone: (858) 452-5800
Fax: (858) 546-0411

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
PSY079740MEDICAID (05)CA
CP7974MEDICARE PIN (08)CA
R62254MEDICARE UPIN (02)

Other Providers at the same location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063683357GORDON M RICK
Organization
Clinical Medical Laboratory5190 GOVERNOR DR SUITE 106
SAN DIEGO, CA 92122
(858) 784-0600
1114375854 ATHENA TAJ LMFT
Individual
Marriage & Family Therapist5190 GOVERNOR DR SUITE #104
SAN DIEGO, CA 92122
(408) 219-8709
1194945212DR. CAROLINE SCOTT DEPOTTEL PHD LCSW
Individual
5190 GOVERNOR DR STE 102
SAN DIEGO, CA 92122
(858) 455-0278
1225052806 RENEE CINCO PT
Individual
Physical Therapist5190 GOVERNOR DR SUITE 107
SAN DIEGO, CA 92122
(858) 452-0282
1336112721DR. LEE JAMES SLATER DDS, MS
Individual
Dentist (Oral and Maxillofacial Pathology)5190 GOVERNOR DR SUITE 106
SAN DIEGO, CA 92122
(858) 784-0600
1346487386MS. BRONWYN GROESBECK SPIEGEL M.S, MFT
Individual
Marriage & Family Therapist5190 GOVERNOR DR SUITE 104
SAN DIEGO, CA 92122
(858) 353-5896
1356496343PSYCHOLOGICAL PROFESSIONALS INCORPORATED
Organization
Psychologist (Clinical)5190 GOVERNOR DR SUITE 101
SAN DIEGO, CA 92122
(858) 558-3036
1417977455GERINO CINCO
Organization
Physical Therapist5190 GOVERNOR DR SUITE 107
SAN DIEGO, CA 92122
(858) 452-0282
1447316419MS. PENNY JOAN FOREMAN MSW
Individual
5190 GOVERNOR DR SUITE 104
SAN DIEGO, CA 92122
(858) 657-0007
1518012137DR. JOHN JOSEPH PERNA PH.D.
Individual
Psychologist (Clinical)5190 GOVERNOR DR SUITE 101
SAN DIEGO, CA 92122
(858) 558-3036
1568671741 PATRICIA ANN STANLEY MFT
Individual
Marriage & Family Therapist5190 GOVERNOR DR SUITE 104
SAN DIEGO, CA 92122
(858) 455-5557
1669467015 DAVID A DICICCO PHD
Individual
Psychologist (Clinical)5190 GOVERNOR DR STE 108
SAN DIEGO, CA 92122
(858) 546-1211
1679693550DR. GORDON MARVIN RICK DDS, MS
Individual
Dentist (Oral and Maxillofacial Pathology)5190 GOVERNOR DR SUITE 106
SAN DIEGO, CA 92122
(858) 784-0600
1770584062UNIVERSITY CITY PHYSICAL THERAPY
Organization
Physical Therapist5190 GOVERNOR DR #107
SAN DIEGO, CA 92122
(858) 452-0282
1821126632DR. CAROLYN E. HUDSON PH. D.
Individual
Psychologist5190 GOVERNOR DR SUITE 101
SAN DIEGO, CA 92122
(858) 453-4344
1821138884DR. REBECCA J KENYON PSY.D., MFT
Individual
Marriage & Family Therapist5190 GOVERNOR DR SUITE #104
SAN DIEGO, CA 92122
(858) 455-5557
1851392120MS. GLORIA THERESA SIGAFOOS PT OCS CHT
Individual
Physical Therapist5190 GOVERNOR DR #107
SAN DIEGO, CA 92122
(858) 452-0282

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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