Organization provider

PACIFIC NEUROBEHAVIORAL CLINIC: A PSYCHOLOGICAL CORPORATION

Community/Behavioral Health Agency Mental Health Clinic/Center (Including Community Mental Health Center) Psychologist Medicare enrolled

PACIFIC NEUROBEHAVIORAL CLINIC: A PSYCHOLOGICAL CORPORATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1952724817, based in San Diego, CA. The organization lists 4 taxonomy classifications, with Community/Behavioral Health Agency recorded as primary.

Getting there

The practice address on file is 3990 OLD TOWN AVE STE C303, San Diego, CA 92110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3990 OLD TOWN AVE STE C303, San Diego, CA 92110 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PSY22738 CA Community/Behavioral Health Agency primary

This provider holds licence PSY22738 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9234454422
Enrollment ID
O20150210002211

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 Community/Behavioral Health covers

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NUCC Health Care Provider Taxonomy, code 251S00000X
Agencies Community/Behavioral Health

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
251S00000X Community/Behavioral Health Agency PSY22738 CA primary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center)
103T00000X Psychologist
103G00000X Clinical Neuropsychologist

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.

NPI1952724817 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJan 29, 2014
Last updatedMay 26, 2026
StatusActive
Practice address 3990 OLD TOWN AVE STE C303
San Diego, CA 92110
(858) 964-0722
Fax (866) 437-0375
This record was updated on May 26, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1952724817 passes the NPI check digit test The final digit 7 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 9 5 2 7 2 4 8 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 1 2 5 2 8 8 2

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

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 1952724817?
NPI 1952724817 is the National Provider Identifier assigned to PACIFIC NEUROBEHAVIORAL CLINIC: A PSYCHOLOGICAL CORPORATION 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 Community/Behavioral Health Agency cover?
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite…
How do I contact PACIFIC NEUROBEHAVIORAL CLINIC: A PSYCHOLOGICAL CORPORATION?
The phone number on file with NPPES is (858) 964-0722, last updated May 26, 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 PACIFIC NEUROBEHAVIORAL CLINIC: A PSYCHOLOGICAL CORPORATION 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 1952724817 a valid number?
Yes. 1952724817 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.