SOUL TIDE OUTPATIENT PSYCHOTHERAPY, PC
NPI 1376224402
Psychologist in Carlsbad, CA

Active since July 31, 2023
3257 CAMINO DE LOS COCHES STE 303, CARLSBAD, CA 92009(858) 945-7421(858) 726-6265 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Jan 30, 2026 (2 updates tracked since 2026).

About Soul Tide Outpatient Psychotherapy, Pc NPPES

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

SOUL TIDE OUTPATIENT PSYCHOTHERAPY, PC (NPI 1376224402) is a healthcare organization registered as a psychologist in Carlsbad, California and active in the NPI registry since July 2023. The organization lists Trevor J Olson, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1376224402
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSOUL TIDE OUTPATIENT PSYCHOTHERAPY, PC
Location Address3257 CAMINO DE LOS COCHES STE 303Carlsbad, CA 92009-8974
Mailing Address2204 Irving AveSan Diego, CA 92113-2301 · (858) 945-7421 · Fax (858) 726-6265
Fax(858) 726-6265
Organization SubpartNo
Authorized OfficialTrevor J OlsonPsychologist/owner · (855) 945-7421
Enumeration DateJuly 31, 2023
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1376224402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3257 CAMINO DE LOS COCHES STE 303, Carlsbad, CA 92009

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

Family Medicine
3257 CAMINO DE LOS COCHES STE 303
CARLSBAD, CA 92009
Family Medicine
3257 CAMINO DE LOS COCHES STE 303
CARLSBAD, CA 92009

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 Soul Tide Outpatient Psychotherapy, PC's NPI number?

The NPI number for Soul Tide Outpatient Psychotherapy, PC is 1376224402. It was assigned to this organization in the NPPES registry on July 31, 2023.

Where is Soul Tide Outpatient Psychotherapy, PC located?

Soul Tide Outpatient Psychotherapy, PC is located at 3257 Camino De Los Coches Ste 303, Carlsbad, CA 92009. The listed phone number is (858) 945-7421.

What is Soul Tide Outpatient Psychotherapy, PC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Soul Tide Outpatient Psychotherapy, PC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.