DR. KEVIN M FAWCETT PH.D.
NPI 1104114206
Psychologist - Clinical in San Diego, CA

Q: What is Kevin Fawcett's NPI number?

The NPI number for Kevin Fawcett is 1104114206. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Q: What is Kevin Fawcett'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 Kevin Fawcett was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 11, 2011

3604 4TH AVE, SUITE 5, SAN DIEGO, CA 92103(619) 356-0811 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kevin M Fawcett Ph.d. NPPES

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

DR. KEVIN M FAWCETT PH.D. (NPI 1104114206) is an individual clinical provider in San Diego, California, licensed in California (PSY 24224) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1104114206

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KEVIN M FAWCETTCredential: PH.D.

Location Address3604 4TH AVE, SUITE 5San Diego, CA 92103-4165

Mailing Address3604 4th Ave, Suite 5San Diego, CA 92103-4165 · (619) 356-0811

Phone(619) 356-0811

Sole ProprietorYes

Enumeration DateJuly 11, 2011

Last NPPES UpdateApril 5, 2017

✔ NPI 1104114206 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 · PSY 24224

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.

3604 4TH AVE, San Diego, CA 92103

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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.

DR. MICHELE LARUE PH.D.

Psychologist (Clinical)

3604 4TH AVE, SUITE 3
SAN DIEGO, CA 92103

San Diego County (619) 685-7780

MS. ELIZABETH FRANCES GORSICH M.F.T.

Marriage & Family Therapist

3604 4TH AVE, SSUITE 3
SAN DIEGO, CA 92103

San Diego County (619) 685-7780

MS. LINDA SUSAN ROSE L.C.S.W.

Social Worker (Clinical)

3604 4TH AVE
SAN DIEGO, CA 92103

San Diego County (858) 361-0198

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 Kevin Fawcett's NPI number?

The NPI number for Kevin Fawcett is 1104114206. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Kevin Fawcett located?

Kevin Fawcett practices at 3604 4th Ave Suite 5, San Diego, CA 92103. The listed phone number is (619) 356-0811.

What is Kevin Fawcett'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 Kevin Fawcett was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.