ALPHA THETA CENTER, INC
NPI 1215572003
Psychologist in San Diego, CA

Active since November 15, 2019
6540 LUSK BLVD STE C175, SAN DIEGO, CA 92121(858) 952-7660 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2021, Nov 15, 2019 (2 updates tracked since 2019).

About Alpha Theta Center, Inc NPPES

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

ALPHA THETA CENTER, INC (NPI 1215572003) is a healthcare organization registered as a psychologist in San Diego, California and active in the NPI registry since November 2019. The organization lists Michael Villanueva, Ceo/clinic Director, as its authorized official.

NPPES Registry Identity

NPI1215572003
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameALPHA THETA CENTER, INC
Location Address6540 LUSK BLVD STE C175San Diego, CA 92121-2768
Mailing Address6540 Lusk Blvd Ste C175San Diego, CA 92121-2768 · (858) 952-7660
Organization SubpartNo
Authorized OfficialMichael VillanuevaCeo/clinic Director · (858) 952-7660
Enumeration DateNovember 15, 2019
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
NPI 1215572003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6540 LUSK BLVD STE C175, San Diego, CA 92121

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

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 Alpha Theta Center, Inc's NPI number?

The NPI number for Alpha Theta Center, Inc is 1215572003. It was assigned to this organization in the NPPES registry on November 15, 2019.

Where is Alpha Theta Center, Inc located?

Alpha Theta Center, Inc is located at 6540 Lusk Blvd Ste C175, San Diego, CA 92121. The listed phone number is (858) 952-7660.

What is Alpha Theta Center, Inc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Alpha Theta Center, Inc was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.