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BEACH PSYCHOTHERAPY
NPI 1104051804
Social Worker - Clinical in San Diego, CA

Active since May 26, 2009
1767 GRAND AVE STE 4, SAN DIEGO, CA 92109(877) 293-8123(858) 273-9410 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beach Psychotherapy NPPES

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

BEACH PSYCHOTHERAPY (NPI 1104051804) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since May 2009. The organization lists Nicole Dockter, Co-director, as its authorized official.

NPPES Registry Identity

NPI1104051804
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBEACH PSYCHOTHERAPY
Location Address1767 GRAND AVE STE 4San Diego, CA 92109-4400
Mailing Address1767 Grand Ave Ste 4San Diego, CA 92109-4400 · (877) 293-8123 · Fax (858) 273-9410
Phone(877) 293-8123
Fax(858) 273-9410
Organization SubpartNo
Authorized OfficialNicole DockterCo-director · (619) 318-5012
Enumeration DateMay 26, 2009
✔ NPI 1104051804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1767 GRAND AVE STE 4, San Diego, CA 92109
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MICHELLE BEHROOZNIA MFT
Marriage & Family Therapist
1767 GRAND AVE STE 4
SAN DIEGO, CA 92109
San Diego County (877) 293-8123
MR. RODRIGO NEY FRANCO MSW, LCSW
Social Worker (Clinical)
1767 GRAND AVE STE 4
SAN DIEGO, CA 92109
San Diego County (530) 392-8366
MS. JENNIFER LYNN YORK LMFT
Marriage & Family Therapist
1767 GRAND AVE STE 4
SAN DIEGO, CA 92109
San Diego County (760) 525-6442

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 Beach Psychotherapy's NPI number?

The NPI number for Beach Psychotherapy is 1104051804. It was assigned to this organization in the NPPES registry on May 26, 2009.

Where is Beach Psychotherapy located?

Beach Psychotherapy is located at 1767 Grand Ave Ste 4, San Diego, CA 92109. The listed phone number is (877) 293-8123.

What is Beach Psychotherapy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Beach Psychotherapy was last updated on May 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.