DR. JACOB ANDREW PAULSEN PH.D
NPI 1578027199
Psychologist - Clinical in San Diego, CA

Q: What is Jacob Paulsen's NPI number?

The NPI number for Jacob Paulsen is 1578027199. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Q: What is Jacob Paulsen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Paulsen was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since January 28, 2019

111 ELM ST, SAN DIEGO, CA 92101(619) 800-5499 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jacob Andrew Paulsen Ph.d NPPES

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

DR. JACOB ANDREW PAULSEN PH.D (NPI 1578027199) is an individual clinical provider in San Diego, California, licensed in California (34892) and active in the NPI registry since January 2019. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1578027199

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACOB ANDREW PAULSENCredential: PH.D

Location Address111 ELM STSan Diego, CA 92101-2692

Mailing AddressPo Box 3573San Diego, CA 92163-1573 · (619) 800-5499

Phone(619) 800-5499

Sole ProprietorNo

Enumeration DateJanuary 28, 2019

Last NPPES UpdateNovember 29, 2024

NPPES CertifiedNovember 29, 2024

✔ NPI 1578027199 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 · 34892

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.

111 ELM ST, San Diego, CA 92101

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Secondary Practice Location 1

Location 19620 Chesapeake DrSan Diego, CA 92123-1369 · Phone (619) 814-6590 · Fax (619) 528-4625

Other Providers at the Same Location NPPES 20

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

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