PACIFIC NEUROBEHAVIORAL CLINIC: A PSYCHOLOGICAL CORPORATION
NPI 1952724817
Community/Behavioral Health in San Diego, CA

Q: What is Pacific Neurobehavioral Clinic: A Psychological Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since January 29, 2014

3990 OLD TOWN AVE STE C303, SAN DIEGO, CA 92110(858) 964-0722(866) 437-0375 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2026, May 15, 2026, Jan 24, 2022 and 1 more (4 updates tracked since 2020).

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About Pacific Neurobehavioral Clinic: A Psychological Corporation NPPES

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

PACIFIC NEUROBEHAVIORAL CLINIC: A PSYCHOLOGICAL CORPORATION (NPI 1952724817) is a healthcare organization registered as a community/behavioral health in San Diego, California and active in the NPI registry since January 2014. The organization lists Alexis Olson Bachiega, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952724817

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePACIFIC NEUROBEHAVIORAL CLINIC: A PSYCHOLOGICAL CORPORATION

Location Address3990 OLD TOWN AVE STE C303San Diego, CA 92110-2932

Mailing Address3990 Old Town Ave Ste C303San Diego, CA 92110-2932 · (858) 964-0722 · Fax (866) 437-0375

Phone(858) 964-0722

Fax(866) 437-0375

Organization SubpartNo

Authorized OfficialAlexis Olson BachiegaCeo · (858) 964-0722

Enumeration DateJanuary 29, 2014

Last NPPES UpdateMay 26, 20264 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1952724817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in CA · PSY22738

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

3990 OLD TOWN AVE STE C303, San Diego, CA 92110

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Other Names 1

Other NamePacific Neurobehavioral Clinic, Pc

Other Providers at the Same Location NPPES 5

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

DR. MARIAM A. HUSSAIN PHD

Clinical Neuropsychologist