DR. JOSE CARLOS PENA PH.D. - NPI 1003831082 - Psychologist in San Diego, CA

Q: What is Jose Pena's NPI number?

The NPI number for Jose Pena is 1003831082. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Jose Pena's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jose Pena was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jose Carlos Pena Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE CARLOS PENA PH.D. (NPI 1003831082) is an individual clinical provider in San Diego, California, licensed in California (PSY13353) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1003831082

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOSE CARLOS PENACredential: PH.D.

Location Address4550 KEARNY VILLA RD, SUITE 116San Diego, CA 92123-1578

Mailing Address2418 Bancroft StSan Diego, CA 92104-5122 · (619) 282-3822 · Fax (619) 563-3913

Phone(858) 279-1223

Fax(858) 279-6154

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003831082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY13353

Definition

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4550 KEARNY VILLA RD, San Diego, CA 92123

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