INTEGRATIVE MIND & BODY PSYCHOTHERAPY, INC.
NPI 1427415967
Psychologist - Clinical in San Diego, CA

NPI Status: Active since January 27, 2016

Contact Information

2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA
ZIP 92106
Phone: (619) 354-2682
Fax: (619) 839-3780

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  • Organization
  • Psychologist
  • Clinical

About INTEGRATIVE MIND & BODY PSYCHOTHERAPY, INC.

This page provides the complete NPI Profile along with additional information for Integrative Mind & Body Psychotherapy, Inc., a provider established in San Diego, California operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1427415967 assigned on January 2016. The practitioner's primary taxonomy code is 103TC0700X with license number PSY26623 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jodi L Ceballos Psy.d. (Licensed Clinical Psychologist)

NPI
1427415967
Provider Name
INTEGRATIVE MIND & BODY PSYCHOTHERAPY, INC.
Entity Type
Organization
Location Address
2305 HISTORIC DECATUR RD STE 100 SAN DIEGO, CA 92106
Location Phone
(619) 354-2682
Location Fax
(619) 839-3780
Mailing Address
2305 HISTORIC DECATUR RD STE 100 SAN DIEGO, CA 92106
Mailing Phone
(619) 354-2682
Mailing Fax
(619) 839-3780
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2016
Last Update Date
01-27-2016
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A clinical psychologist like Integrative Mind & Body Psychotherapy, Inc. assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY26623
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JODI L CEBALLOS PSY.D.

Authorized Official Title
LICENSED CLINICAL PSYCHOLOGIST
Authorized Official Phone
(619) 354-2682

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427415967
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24478110912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 8 + 1 + 1 + 0 + 9 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1427415967 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659704542MRS. SARAH HANEM IZAGUIRRE
Individual
Marriage & Family Therapist2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(619) 720-2816
1225680341 KIM ELIZIER SORRELL LMFT
Individual
Counselor (Mental Health)2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(619) 372-1788
1306489737 PERLITA CECILIA ORTIZ
Individual
Case Manager/Care Coordinator2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(619) 207-1713
1982240651 DUSTINE DOAN
Individual
Case Manager/Care Coordinator2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(858) 353-1789
1447672191 KRISTEN MARIE O'DWYER LCSW
Individual
Social Worker (Clinical)2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(619) 708-7100
1003001777 CARMEN L LUK DPT
Individual
Physical Therapist2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(760) 209-4868
1366025819EVEREST MOBILE PHYSICAL THERAPY CORPORATION
Organization
Clinic/Center (Physical Therapy)2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(760) 209-4868
1689247181 ANNA ARAUJO ANDERSON M.S.
Individual
Nutritionist2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(619) 302-4156
1295436608 LAUREN NICOLE MASON MFT
Individual
Marriage & Family Therapist2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(619) 780-7100
1558778043 DANIEL THOMAS MATTOX
Individual
Nurse Practitioner (Psychiatric/Mental Health)2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(619) 613-2791
1346046224DANIEL MATTOX NURSING CORPORATION
Organization
Psychiatry & Neurology (Psychiatry)2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(626) 848-6670
1043107303CS CARE
Organization
In Home Supportive Care2305 HISTORIC DECATUR RD STE 100
SAN DIEGO, CA 92106
(203) 623-9366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427415967, enumerated in the NPI registry as an "organization" on January 27, 2016

The provider is located at 2305 Historic Decatur Rd Ste 100 San Diego, Ca 92106 and the phone number is (619) 354-2682

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on January 27, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.