<unavail> in San Diego, CA - Medicare Psychologist

is a medicare enrolled mental health clinic (Psychologist - Clinical) in San Diego, California. The current practice location for is 411 Camino Del Rio S Ste 304, San Diego, California. For appointments, you can reach them via phone at (314) 719-7183. The mailing address for is 2295 Bahia Dr, La Jolla, California and phone number is () -.

is licensed to practice in California (license number PSY27021). The clinic also participates in the medicare program and its NPI number is 1013496421. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (314) 719-7183.

Contact Information


	411 Camino Del Rio S Ste 304 San Diego CA 92108-3551
	(314) 719-7183
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Psychologist
Location	411 Camino Del Rio S Ste 304, San Diego, California
Authorized Official Name and Position	Starr Mackinnon (CEO)
Authorized Official Contact	6198855050
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2295 Bahia Dr La Jolla CA 92037-7007 Ph: () -	411 Camino Del Rio S Ste 304 San Diego CA 92108-3551 Ph: (314) 719-7183

NPI Details:

NPI Number	1013496421
Provider Enumeration Date	08/08/2018
Last Update Date	08/08/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	0648523043
Medicare Enrollment ID	O20181101002106

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013496421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY27021 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Starr Elisabeth Mackinnon
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1043403850 PECOS PAC ID: 0446514251 Enrollment ID: I20180502002645

Reviews and Comments

Psychologist in San Diego, CA

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- Medicare Mental Health Clinic in San Diego, CA