SAINT JOSEPH PSYCHOLOGICAL CLINIC INC
NPI 1295373918
Psychologist - Clinical in La Jolla, CA

Active since December 12, 2019
3252 HOLIDAY CT STE 205, LA JOLLA, CA 92037(619) 507-9294 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2020, Feb 5, 2020, Dec 12, 2019 (3 updates tracked since 2019).

About Saint Joseph Psychological Clinic Inc NPPES

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

SAINT JOSEPH PSYCHOLOGICAL CLINIC INC (NPI 1295373918) is a healthcare organization registered as a clinical in La Jolla, California and active in the NPI registry since December 2019. The organization lists Paul Santero, Owner, as its authorized official.

NPPES Registry Identity

NPI1295373918
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSAINT JOSEPH PSYCHOLOGICAL CLINIC INC
Location Address3252 HOLIDAY CT STE 205La Jolla, CA 92037-1808
Mailing Address4415 Pomona AveLa Mesa, CA 91942-9118 · (619) 507-9294
Organization SubpartNo
Authorized OfficialPaul SanteroOwner · (619) 507-9294
Enumeration DateDecember 12, 2019
Last NPPES UpdateFebruary 10, 20203 updates tracked since enumeration
✔ NPI 1295373918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
3252 HOLIDAY CT STE 205, La Jolla, CA 92037

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saint Joseph Psychological Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Saint Joseph Psychological Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1003453853
3252 HOLIDAY CT STE 205
La Jolla, CA 92037
(619) 750-0970
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Saint Joseph Psychological Clinic Inc's NPI number?

The NPI number for Saint Joseph Psychological Clinic Inc is 1295373918. It was assigned to this organization in the NPPES registry on December 12, 2019.

Where is Saint Joseph Psychological Clinic Inc located?

Saint Joseph Psychological Clinic Inc is located at 3252 Holiday Ct Ste 205, La Jolla, CA 92037. The listed phone number is (619) 507-9294.

What is Saint Joseph Psychological Clinic Inc's specialty?

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

Is Saint Joseph Psychological Clinic Inc enrolled in Medicare?

Yes. Saint Joseph Psychological Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Saint Joseph Psychological Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Saint Joseph Psychological Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Saint Joseph Psychological Clinic Inc was last updated on February 10, 2020. 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.