1. Home
  2. Directory
  3. California
  4. San Diego
  5. Psychologist
  6. NPI Profile

ELIZABETH BACON PHD
NPI 1386119345
Psychologist - Clinical in San Diego, CA

Active since October 05, 2018
3020 CHILDRENS WAY # MC5042, SAN DIEGO, CA 92123(858) 966-7453 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Elizabeth Bacon Phd NPPES

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

ELIZABETH BACON PHD (NPI 1386119345) is an individual clinical provider in San Diego, California, licensed in California (29317) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1386119345
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELIZABETH BACONCredential: PHD
Location Address3020 CHILDRENS WAY # MC5042San Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5042San Diego, CA 92123-4223
Phone(858) 966-7453
Sole ProprietorYes
Enumeration DateOctober 5, 2018
✔ NPI 1386119345 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 · 29317
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.
3020 CHILDRENS WAY # MC5042, San Diego, CA 92123
Open in Google Maps ↗

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 3

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

JOANNA CLARE KENNEDY PSY.D.
Psychologist
3020 CHILDRENS WAY # MC5042
SAN DIEGO, CA 92123
San Diego County (858) 966-7453
CHANEL EVALANI KEALOHA PSYD
Psychologist
3020 CHILDRENS WAY # MC5042
SAN DIEGO, CA 92123
San Diego County (858) 966-7453
DR. CHANDNI PARIKH PSYD
Psychologist
3020 CHILDRENS WAY # MC5042
SAN DIEGO, CA 92123
San Diego County (858) 966-7453

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 Elizabeth Bacon's NPI number?

The NPI number for Elizabeth Bacon is 1386119345. It was assigned to this individual provider in the NPPES registry on October 5, 2018.

Where is Elizabeth Bacon located?

Elizabeth Bacon practices at 3020 Childrens Way # Mc5042, San Diego, CA 92123. The listed phone number is (858) 966-7453.

What is Elizabeth Bacon'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 Elizabeth Bacon was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.