DR. HRYSSO KELLAS FERNBACH PSY. D.
NPI 1225232697
Psychologist - Clinical in San Diego, CA

Active since June 12, 2007
2668 W CANYON AVE, SAN DIEGO, CA 92123(732) 770-5360 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Hrysso Kellas Fernbach Psy. D. NPPES

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

DR. HRYSSO KELLAS FERNBACH PSY. D. (NPI 1225232697) is an individual clinical provider in San Diego, California, licensed in California (26472) and active in the NPI registry since June 2007. She maintains a secondary practice location in Colonia.

NPPES Registry Identity

NPI1225232697
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. HRYSSO KELLAS FERNBACHCredential: PSY. D.
Location Address2668 W CANYON AVESan Diego, CA 92123-4684
Mailing Address2668 W Canyon AveSan Diego, CA 92123-4684 · (732) 770-5360
Sole ProprietorNo
Enumeration DateJune 12, 2007
Last NPPES UpdateSeptember 12, 2019
NPI 1225232697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in CA · 26472 Licensed in NY · 9329 Licensed in FL · 8643
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 ListedPsychologistTaxonomy 103T00000X · License 2705 (NJ)
2668 W CANYON AVE, San Diego, CA 92123

Secondary Practice Location 1

Location 140 Stafford RdColonia, NJ 07067-3209 · Phone (732) 770-5360

Other Identifiers 4

Other9329NY · Psychology License
OtherPY8643FL · Psychology License
Other2705NJ · Psychology License
Other26472CA · Psychology License

Accepted Insurance

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 Hrysso Fernbach's NPI number?

The NPI number for Hrysso Fernbach is 1225232697. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Hrysso Fernbach located?

Hrysso Fernbach practices at 2668 W Canyon Ave, San Diego, CA 92123. The listed phone number is (732) 770-5360.

What is Hrysso Fernbach's specialty?

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

What insurance does Hrysso Fernbach accept?

Health plans from Blue Cross and Blue Shield of Texas list Hrysso Fernbach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hrysso Fernbach was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.