Organization provider

ITERRA PSYCHOLOGICAL SERVICES APC

Clinical Psychologist Medicare enrolled

ITERRA PSYCHOLOGICAL SERVICES APC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1508719758, based in San Diego, CA. It is classified under Clinical Psychologist.

Getting there

The practice address on file is 12636 HIGH BLUFF DR STE 400, San Diego, CA 92130. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12636 HIGH BLUFF DR STE 400, San Diego, CA 92130 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
7618447277
Enrollment ID
O20260526001201

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1508719758 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 17, 2026
Last updatedAug 10, 2026
StatusActive
Practice address 12636 HIGH BLUFF DR STE 400
San Diego, CA 92130
(619) 830-9552
Mailing address 5505 STEVENS WAY UNIT 740244
San Diego, CA 92174
This record was updated on Aug 10, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1508719758 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 0 8 7 1 9 7 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 0 8 5 1 9 7 1

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1508719758?
NPI 1508719758 is the National Provider Identifier assigned to ITERRA PSYCHOLOGICAL SERVICES APC in San Diego, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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 --…
How do I contact ITERRA PSYCHOLOGICAL SERVICES APC?
The phone number on file with NPPES is (619) 830-9552, last updated Aug 10, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does ITERRA PSYCHOLOGICAL SERVICES APC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1508719758 a valid number?
Yes. 1508719758 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.