1. Home
  2. Directory
  3. California
  4. San Diego
  5. Psychologist
  6. NPI Profile

DR. DIANE K. PENDRAGON PSY.D.
NPI 1033316468
Psychologist - Clinical in San Diego, CA

Active since June 29, 2007
4452 PARK BLVD, SUITE 101, SAN DIEGO, CA 92116(866) 842-8927(866) 842-8927 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Diane K. Pendragon Psy.d. NPPES

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

DR. DIANE K. PENDRAGON PSY.D. (NPI 1033316468) is an individual clinical provider in San Diego, California, licensed in California (PSY20239) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1033316468
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DIANE K. PENDRAGONCredential: PSY.D.
Location Address4452 PARK BLVD, SUITE 101San Diego, CA 92116-4051
Mailing Address4452 Park Blvd, Suite 101San Diego, CA 92116-4051 · (866) 842-8927 · Fax (866) 842-8927
Phone(866) 842-8927
Fax(866) 842-8927
Sole ProprietorYes
Enumeration DateJune 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033316468 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 · PSY20239
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.
4452 PARK BLVD, San Diego, CA 92116
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 8

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

DR. ELIZABETH WOODROW PRATHER PH.D.
Psychologist (Clinical)
4452 PARK BLVD
SAN DIEGO, CA 92116
San Diego County (619) 291-6905
DR. CATHY SUE RETO PH.D.
Psychologist (Clinical)
4452 PARK BLVD, SUITE 309
SAN DIEGO, CA 92116
San Diego County (619) 574-7525
MS. MARIA CECILIA AHRENS LCSW
Social Worker (Clinical)
4452 PARK BLVD, SUITE 204
SAN DIEGO, CA 92116
San Diego County (619) 823-1382
MS. NANCY E. WILLIFORD LCSW, BCD
Social Worker (Clinical)
4452 PARK BLVD, SUITE 205
SAN DIEGO, CA 92116
San Diego County (619) 294-3500
POLLYANNA V CASMAR PH.D.
Psychologist (Counseling)
4452 PARK BLVD, SUITE 310
SAN DIEGO, CA 92116
San Diego County (619) 297-0650
DR. WILLIAM LATTA MA AND PHD
Marriage & Family Therapist
4452 PARK BLVD, SUITE 304
SAN DIEGO, CA 92116
San Diego County (619) 890-5152
DR. THOMAS D JONES PH.D.
Psychologist (Clinical)
4452 PARK BLVD
SAN DIEGO, CA 92116
San Diego County (928) 247-1526
DR. PAUL STANDAL PH.D
Psychologist (Clinical)
4452 PARK BLVD, 212
SAN DIEGO, CA 92116
San Diego County (858) 775-2501

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 Diane Pendragon's NPI number?

The NPI number for Diane Pendragon is 1033316468. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Diane Pendragon located?

Diane Pendragon practices at 4452 Park Blvd Suite 101, San Diego, CA 92116. The listed phone number is (866) 842-8927.

What is Diane Pendragon's specialty?

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

What insurance does Diane Pendragon accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Diane Pendragon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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