LARISA NAN CICILA PH.D.
NPI 1043739915
Psychologist - Clinical in San Diego, CA

Active since September 12, 2017
2535 CAMINO DEL RIO S STE 106, SAN DIEGO, CA 92108(619) 940-7774 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larisa Nan Cicila Ph.d. NPPES

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

LARISA NAN CICILA PH.D. (NPI 1043739915) is an individual clinical provider in San Diego, California, licensed in California (PSY29432) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1043739915
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLARISA NAN CICILACredential: PH.D.
Location Address2535 CAMINO DEL RIO S STE 106San Diego, CA 92108-3764
Mailing Address3321 31st StSan Diego, CA 92104-4619 · (419) 494-6122
Sole ProprietorNo
Enumeration DateSeptember 12, 2017
NPI 1043739915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY29432
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.
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY29432 (CA)
2535 CAMINO DEL RIO S STE 106, San Diego, CA 92108

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
2535 CAMINO DEL RIO S STE 106
SAN DIEGO, CA 92108
Psychologist
2535 CAMINO DEL RIO S STE 106
SAN DIEGO, CA 92108

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 Larisa Cicila's NPI number?

The NPI number for Larisa Cicila is 1043739915. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Larisa Cicila located?

Larisa Cicila practices at 2535 Camino Del Rio S Ste 106, San Diego, CA 92108. The listed phone number is (619) 940-7774.

What is Larisa Cicila's specialty?

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

When was this NPI record last updated?

The NPPES record for Larisa Cicila was last updated on September 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.