PACIFIC INTEGRATIVE THERAPY INC
NPI 1356011217
Psychologist - Clinical in San Diego, CA

Q: What is Pacific Integrative Therapy Inc's NPI number?

The NPI number for Pacific Integrative Therapy Inc is 1356011217. It was assigned to this organization in the NPPES registry on September 14, 2021. The provider was formerly known as Green Psychological Services.

Q: What is Pacific Integrative Therapy Inc's specialty?

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

Active since September 14, 2021

12625 HIGH BLUFF DR STE 103, SAN DIEGO, CA 92130(858) 877-1750(855) 554-1110 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 5, 2024, Mar 6, 2023, Sep 14, 2021 (3 updates tracked since 2021).

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About Pacific Integrative Therapy Inc NPPES

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

PACIFIC INTEGRATIVE THERAPY INC (NPI 1356011217), doing business as Green Psychological Services, is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since September 2021. The organization lists Hedieh Azadmehr, President, as its authorized official.

NPPES Registry Identity

NPI1356011217

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePACIFIC INTEGRATIVE THERAPY INC

Location Address12625 HIGH BLUFF DR STE 103San Diego, CA 92130-2053

Mailing Address12636 High Bluff DrSan Diego, CA 92130-2022 · (858) 877-1860

Phone(858) 877-1750

Fax(855) 554-1110

Organization SubpartNo

Authorized OfficialHedieh AzadmehrPresident · (858) 877-1750

Enumeration DateSeptember 14, 2021

Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1356011217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

12625 HIGH BLUFF DR STE 103, San Diego, CA 92130

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Other Names 1

Former Legal Business NameGreen Psychological Services

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

Other Providers at the Same Location NPPES 4

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

MINDWELL COLLECTIVE

Clinic/Center (Adult Mental Health)

12625 HIGH BLUFF DR STE 103
SAN DIEGO, CA 92130

San Diego County (858) 877-1860

DEENA PASTORE

Marriage & Family Therapist

12625 HIGH BLUFF DR STE 103
SAN DIEGO, CA 92130

San Diego County (858) 461-9920

HEDIEH AZADMEHR PH.D

Psychologist

12625 HIGH BLUFF DR STE 103
SAN DIEGO, CA 92130

San Diego County (858) 877-1860

SUSAN KIM

Marriage & Family Therapist

12625 HIGH BLUFF DR STE 103
SAN DIEGO, CA 92130

San Diego County (858) 757-3310

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 Pacific Integrative Therapy Inc's NPI number?

The NPI number for Pacific Integrative Therapy Inc is 1356011217. It was assigned to this organization in the NPPES registry on September 14, 2021. The provider was formerly known as Green Psychological Services.

Where is Pacific Integrative Therapy Inc located?

Pacific Integrative Therapy Inc is located at 12625 High Bluff Dr Ste 103, San Diego, CA 92130. The listed phone number is (858) 877-1750.

What is Pacific Integrative Therapy Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Pacific Integrative Therapy Inc was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.