PACIFIC INTEGRATIVE THERAPY INC
NPI 1356011217
Psychologist - Clinical in San Diego, CA
NPI Status: Active since September 14, 2021
Contact Information
12625 HIGH BLUFF DR STE 103
SAN DIEGO, CA
ZIP 92130
Phone: (858) 877-1750
Fax: (855) 554-1110
- Organization
- Psychologist
- Clinical
About PACIFIC INTEGRATIVE THERAPY INC
This page provides the complete NPI Profile along with additional information for Pacific Integrative Therapy Inc, a provider established in San Diego, California operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1356011217 assigned on September 2021. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pacific Integrative Therapy Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Green Psychological Services. The authorized official of this NPI record is Dr. Hedieh Azadmehr Ph.d (President)
- NPI
- 1356011217
- Provider Legal Name
- PACIFIC INTEGRATIVE THERAPY INC
- Other Organization Name
- GREEN PSYCHOLOGICAL SERVICES
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 12625 HIGH BLUFF DR STE 103 SAN DIEGO, CA 92130
- Location Phone
- (858) 877-1750
- Location Fax
- (855) 554-1110
- Mailing Address
- 12636 HIGH BLUFF DR SAN DIEGO, CA 92130
- Mailing Phone
- (858) 877-1860
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-14-2021
- Last Update Date
- 11-05-2024
- Code Navigator
A clinical psychologist like Pacific Integrative Therapy Inc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356011217, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 43 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92130
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356011217, enumerated as an "organization" on September 14, 2021.
The provider is located at 12625 HIGH BLUFF DR STE 103 SAN DIEGO, CA 92130 and the phone number is (858) 877-1750.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
