BIANCA CERSOSIMO PHD
NPI 1366145278
Psychologist - Clinical in San Diego, CA

Active since March 22, 2023
7220 TRADE ST STE 168, SAN DIEGO, CA 92121(858) 356-2176(877) 216-1240 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bianca Cersosimo Phd NPPES

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

BIANCA CERSOSIMO PHD (NPI 1366145278) is an individual clinical provider in San Diego, California, licensed in California (PSY34256) and active in the NPI registry since March 2023. She maintains a secondary practice location in Los Altos.

NPPES Registry Identity

NPI1366145278
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameBIANCA CERSOSIMOCredential: PHD
Location Address7220 TRADE ST STE 168San Diego, CA 92121-2324
Mailing Address7220 Trade St Ste 168San Diego, CA 92121-2324 · (858) 356-2176 · Fax (877) 216-1240
Fax(877) 216-1240
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1366145278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY34256
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.
7220 TRADE ST STE 168, San Diego, CA 92121

Secondary Practice Location 1

Location 14966 El Camino Real Ste 244Los Altos, CA 94022-1436 · Phone (650) 690-2326

Other Providers at the Same Location NPPES 2

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

Psychologist
7220 TRADE ST STE 168
SAN DIEGO, CA 92121
Psychologist
7220 TRADE ST STE 168
SAN DIEGO, CA 92121

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 Bianca Cersosimo's NPI number?

The NPI number for Bianca Cersosimo is 1366145278. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Bianca Cersosimo located?

Bianca Cersosimo practices at 7220 Trade St Ste 168, San Diego, CA 92121. The listed phone number is (858) 356-2176.

What is Bianca Cersosimo'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 Bianca Cersosimo was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.