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DEBRA BOELDT PH.D.
NPI 1548638653
Psychologist - Clinical in San Diego, CA

Active since September 04, 2015
4570 EXECUTIVE DR, SUITE 100, SAN DIEGO, CA 92121(858) 253-1732 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra Boeldt Ph.d. NPPES

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

DEBRA BOELDT PH.D. (NPI 1548638653) is an individual clinical provider in San Diego, California, licensed in California (27292) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1548638653
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDEBRA BOELDTCredential: PH.D.
Location Address4570 EXECUTIVE DR, SUITE 100San Diego, CA 92121-3074
Mailing Address4570 Executive Dr, Suite 100San Diego, CA 92121-3074 · (858) 253-1732
Phone(858) 253-1732
Sole ProprietorNo
Enumeration DateSeptember 4, 2015
✔ NPI 1548638653 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 · 27292
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.
4570 EXECUTIVE DR, San Diego, CA 92121
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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 Debra Boeldt's NPI number?

The NPI number for Debra Boeldt is 1548638653. It was assigned to this individual provider in the NPPES registry on September 4, 2015.

Where is Debra Boeldt located?

Debra Boeldt practices at 4570 Executive Dr Suite 100, San Diego, CA 92121. The listed phone number is (858) 253-1732.

What is Debra Boeldt'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 Debra Boeldt was last updated on September 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.