DR. COLETTE LORD PH.D.
NPI 1184790933
Psychologist - Clinical in Del Mar, CA

Active since November 24, 2006Opted out of Medicare · through Apr 1, 2028
317 14TH ST STE E, DEL MAR, CA 92014(858) 276-8831(858) 215-5459 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, Jan 17, 2019, Dec 27, 2018 (3 updates tracked since 2018).

About Dr. Colette Lord Ph.d. NPPES

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

DR. COLETTE LORD PH.D. (NPI 1184790933) is an individual clinical provider in Del Mar, California, licensed in California (21497) and active in the NPI registry since November 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1184790933
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. COLETTE LORDCredential: PH.D.
Location Address317 14TH ST STE EDel Mar, CA 92014-2554
Mailing Address317 14th St Ste EDel Mar, CA 92014-2554 · (858) 276-8831 · Fax (858) 215-5459
Fax(858) 215-5459
Sole ProprietorYes
Enumeration DateNovember 24, 2006
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
NPI 1184790933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in CA · 21497 Licensed in CA · PSY 21497
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.

317 14TH ST STE E, Del Mar, CA 92014

Other Names 1

Former Name (1)Colette Poehling

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Colette Lord Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Psychologist (Clinical)
317 14TH ST STE E
DEL MAR, CA 92014
Psychologist
317 14TH ST STE E
DEL MAR, CA 92014
Clinic/Center (Adult Mental Health)
317 14TH ST STE E
DEL MAR, CA 92014
Psychologist (Clinical)
317 14TH ST STE E
DEL MAR, CA 92014
Psychologist
317 14TH ST STE E
DEL MAR, CA 92014
Psychologist
317 14TH ST STE E
DEL MAR, CA 92014
Psychiatry & Neurology (Psychiatry)
317 14TH ST STE E
DEL MAR, CA 92014

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 Colette Lord's NPI number?

The NPI number for Colette Lord is 1184790933. It was assigned to this individual provider in the NPPES registry on November 24, 2006. The provider is also known as Colette Poehling.

Where is Colette Lord located?

Colette Lord practices at 317 14th St Ste E, Del Mar, CA 92014. The listed phone number is (858) 276-8831.

What is Colette Lord's specialty?

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

Is Colette Lord enrolled in Medicare?

No. Colette Lord has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Colette Lord was last updated on May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.