| Mindful Psychotherapy, Inc. | |
|
5230 Carroll Canyon Rd Ste 316 San Diego CA 92121-1781 | |
| (858) 353-3345 | |
| (858) 800-4803 |
| Full Name | Mindful Psychotherapy, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 5230 Carroll Canyon Rd Ste 316, San Diego, California |
| Authorized Official Name and Position | Archana Jajodia (DIRECTOR) |
| Authorized Official Contact | 8583533345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Psychotherapy, Inc. 13355 Winstanley Way San Diego CA 92130-1403 Ph: (858) 353-3345 | Mindful Psychotherapy, Inc. 5230 Carroll Canyon Rd Ste 316 San Diego CA 92121-1781 Ph: (858) 353-3345 |
| NPI Number | 1073841276 |
|---|---|
| Provider Enumeration Date | 11/27/2009 |
| Last Update Date | 10/22/2019 |
| Medicare PECOS PAC ID | 1850539644 |
|---|---|
| Medicare Enrollment ID | O20130606000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073841276 | NPI | - | NPPES |
| Provider Name | Archana Jajodia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982932182 PECOS PAC ID: 7416106448 Enrollment ID: I20121005000357 |
| Provider Name | Laura J Proctor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124434972 PECOS PAC ID: 0749557635 Enrollment ID: I20170524002330 |
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