Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
REGENTS OF THE UNVIERSITY OF CALIFONRIA - UCSD MEDICAL GROUP
Active
Organization
REGENTS OF THE UNVIERSITY OF CALIFONRIA - UCSD MEDICAL GROUP
Active
Other names
UCSD DEPT OF PSYCHOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DENNIS PRICE (DIRECTOR,REVENUE CYCLE & OPERATIONS)
(858) 249-6752
Entity
Organization
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364823300
US DEPT OF LABOR
—
01
—
364823301
US DEPT OF LABOR
—
01
—
364823302
US DEPT OF LABOR
—
01
—
364823303
US DEPT OF LABOR
—
01
—
364823304
US DEPT OF LABOR
—
01
—
364823305
US DEPT OF LABOR
—
01
—
364823306
US DEPT OF LABOR
—
01
—
364823307
US DEPT OF LABOR
—
01
—
364823308
US DEPT OF LABOR
—
01
—
364823310
US DEPT OF LABOR
—
01
—
CGP016905
GHPP
CA
01
—
CQ4024
RAILROAD MEDICARE
—
05
—
GPS000030
—
CA
01
—
ZZZ73229Z
BLUE SHIELD
CA
01
—
ZZZP3711Z
BLUE SHIELD
CA
Enumeration date
09/05/2006
Last updated
02/09/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up