CYNTHIA MIRANDA PSYD
NPI 1023186970
Psychologist in San Diego, CA

Active since November 30, 2006PECOS Enrolled
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 564-8765(619) 564-8786 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cynthia Miranda Psyd NPPES

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

CYNTHIA MIRANDA PSYD (NPI 1023186970) is an individual psychologist in San Diego, California, licensed in California (PSY21188) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023186970
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCYNTHIA MIRANDACredential: PSYD
Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 564-8765 · Fax (619) 564-8786
Fax(619) 564-8786
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateFebruary 5, 2019
NPI 1023186970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY21188
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.
4060 FAIRMOUNT AVE, San Diego, CA 92105

Other Identifiers 1

OtherFHC18880FCA · Medi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cynthia Miranda Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105
Counselor (Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Student in an Organized Health Care Education/Training Program
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Internal Medicine
4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Pediatrics
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105
Social Worker
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Nurse Practitioner (Psychiatric/Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Miranda's NPI number?

The NPI number for Cynthia Miranda is 1023186970. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Cynthia Miranda located?

Cynthia Miranda practices at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 564-8765.

What is Cynthia Miranda's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Cynthia Miranda enrolled in Medicare?

Yes. Cynthia Miranda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cynthia Miranda was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.