| Pacific Psychology Centers, Apc. | |
|
2382 Faraday Ave Ste 250-12 Carlsbad CA 92008-7218 | |
| (858) 869-9530 | |
| Not Available |
| Full Name | Pacific Psychology Centers, Apc. |
|---|---|
| Speciality | Psychologist |
| Location | 2382 Faraday Ave Ste 250-12, Carlsbad, California |
| Authorized Official Name and Position | Nichole Duarte (OWNER) |
| Authorized Official Contact | 3105929937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychology Centers, Apc. 2382 Faraday Ave Ste 250-12 Carlsbad CA 92008-7218 Ph: (858) 869-9530 | Pacific Psychology Centers, Apc. 2382 Faraday Ave Ste 250-12 Carlsbad CA 92008-7218 Ph: (858) 869-9530 |
| NPI Number | 1295124998 |
|---|---|
| Provider Enumeration Date | 01/19/2015 |
| Last Update Date | 01/19/2015 |
| Medicare PECOS PAC ID | 8022334200 |
|---|---|
| Medicare Enrollment ID | O20150305001464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295124998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 26899 (California) | Primary |
| Provider Name | Jill A Saulque |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508122235 PECOS PAC ID: 2668638644 Enrollment ID: I20120718000848 |
| Provider Name | Nichole Antoinette Duarte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902039555 PECOS PAC ID: 1658697834 Enrollment ID: I20150305001553 |
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