DUET PSYCHOLOGICAL SERVICES, INC.
NPI 1790304947
Psychologist - Clinical in San Diego, CA

Active since April 08, 2020
3990 OLD TOWN AVE STE A208, SAN DIEGO, CA 92110(619) 794-4229(619) 330-2003 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Duet Psychological Services, Inc. NPPES

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

DUET PSYCHOLOGICAL SERVICES, INC. (NPI 1790304947) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since April 2020. The organization lists Kimberly Loewen, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1790304947
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDUET PSYCHOLOGICAL SERVICES, INC.
Location Address3990 OLD TOWN AVE STE A208San Diego, CA 92110-2967
Mailing Address3990 Old Town Ave Ste A208San Diego, CA 92110-2967 · (619) 794-4229 · Fax (619) 330-2003
Fax(619) 330-2003
Organization SubpartNo
Authorized OfficialKimberly LoewenClinical Psychologist · (619) 794-4229
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1790304947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
3990 OLD TOWN AVE STE A208, San Diego, CA 92110

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Duet Psychological Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Duet Psychological Services, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1558520718
3990 OLD TOWN AVE SUITE A208
San Diego, CA 92110
(619) 794-4229
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1255656617
3990 OLD TOWN AVE STE A208
San Diego, CA 92110
(619) 630-7208
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Duet Psychological Services, Inc.'s NPI number?

The NPI number for Duet Psychological Services, Inc. is 1790304947. It was assigned to this organization in the NPPES registry on April 8, 2020.

Where is Duet Psychological Services, Inc. located?

Duet Psychological Services, Inc. is located at 3990 Old Town Ave Ste A208, San Diego, CA 92110. The listed phone number is (619) 794-4229.

What is Duet Psychological Services, Inc.'s specialty?

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

Is Duet Psychological Services, Inc. enrolled in Medicare?

Yes. Duet Psychological Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Duet Psychological Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Duet Psychological Services, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Duet Psychological Services, Inc. was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.