Organization
AVIVA PSYCHOLOGICAL SERVICES, APC
Active
Organization
AVIVA PSYCHOLOGICAL SERVICES, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAINA R PONCE PHD (OWNER/CEO)
(619) 786-5866
Entity
Organization
Contact information
Practice address
2831 CAMINO DEL RIO S STE 308, SAN DIEGO, CA 92108-3829
(619) 786-5866
Mailing address
117 COOLWATER DR, SAN DIEGO, CA 92114-7308
(707) 328-7400
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/12/2024
Last updated
03/24/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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