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

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: July 19, 2026.

  • Individual
  • Male
  • Psychologist
  • Clinical

About KEVIN FAWCETT

This page provides the complete NPI Profile along with additional information for Kevin Fawcett, a provider established in San Diego, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1104114206 assigned on July 2011. The practitioner's primary taxonomy code is 103TC0700X with license number PSY 24224 (CA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1104114206 Verify this NPI
Provider Name
DR. KEVIN M FAWCETT PH.D.
Gender
Male
Entity Type
Individual
Location Address
3604 4TH AVE SUITE 5 SAN DIEGO, CA 92103
Location Phone
(619) 356-0811
Mailing Address
3604 4TH AVE SUITE 5 SAN DIEGO, CA 92103
Mailing Phone
(619) 356-0811
Is Sole Proprietor?
Yes
Enumeration Date
07-11-2011
Last Update Date
04-05-2017
Code Navigator

A clinical psychologist like Kevin Fawcett assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY 24224
License State
CA
Taxonomy Description
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.

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3604 4TH AVE
SAN DIEGO, CA 92103
Psychologist (Clinical)
3604 4TH AVE, SUITE 3
SAN DIEGO, CA 92103
Marriage & Family Therapist
3604 4TH AVE, SSUITE 3
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104114206, enumerated as an "individual" on July 11, 2011.

The provider is located at 3604 4TH AVE SUITE 5 SAN DIEGO, CA 92103 and the phone number is (619) 356-0811.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.