MS. JESSICA L BOLTON PSY.D.
NPI 1215186127
Psychologist - Clinical in San Diego, CA

Q: What is Jessica Bolton's NPI number?

The NPI number for Jessica Bolton is 1215186127. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Q: What is Jessica Bolton'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 Jessica Bolton was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 16, 2008

480 ALTA RD, SAN DIEGO, CA 92179(503) 715-6050 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Ms. Jessica L Bolton Psy.d. NPPES

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

MS. JESSICA L BOLTON PSY.D. (NPI 1215186127) is an individual clinical provider in San Diego, California, licensed in California (27634) and active in the NPI registry since September 2008. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1215186127

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMS. JESSICA L BOLTONCredential: PSY.D.

Location Address480 ALTA RDSan Diego, CA 92179-0001

Mailing Address480 Alta RdSan Diego, CA 92179-0001 · (503) 715-6050

Phone(503) 715-6050

Sole ProprietorNo

Enumeration DateSeptember 16, 2008

Last NPPES UpdateJune 8, 2022

NPPES CertifiedJune 8, 2022

✔ NPI 1215186127 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 · 27634

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 7321599 (OR)

480 ALTA RD, San Diego, CA 92179

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Secondary Practice Location 1

Location 11500 NE Irving St, Suite 250Portland, OR 97232-2243 · Phone (503) 233-4356

Other Providers at the Same Location NPPES 20

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

DR. RAFAEL ELIAS OLIVARES CHAYEB

Psychologist (Clinical)