Mark A Amparo
Psychologist (Health Service)

Address: 5222 Balboa Ave Ste 33, San Diego, CA 92117-6953
Phone: 8588748868

Mark A Amparo (NPI# 1396374054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396374054
Entity Type Individual
Full Name Mark A Amparo
Gender Male
Practice Address 5222 Balboa Ave Ste 33
San Diego
CA 92117-6953
Practice Telephone 8588748868
Mailing Address Po Box 939043
San Diego
CA 92193-9043
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-04-05
Last Update Date 2020-04-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TH0100X Psychologist · Health Service Behavioral Health & Social Service Providers

Other Provider Identifier

State Identifier Issuer Type Code
CA 91202202F80050 MEDICAID

Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

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Office Location

Street Address 5222 BALBOA AVE STE 33
City SAN DIEGO
State CA
Zip Code 92117-6953

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NPI Name Taxonomy Address Enumeration
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1275074379 Rachel Gabrielle Packer Counselor 5252 Balboa Ave Ste 801, San Diego, CA 92117 2017-03-09
1316482995 Lisa Graff-marsh, Inc. Social Worker 4985 Park Rim Dr., San Diego, CA 92117 2017-01-05
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Competitor

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City SAN DIEGO
Zip Code 92117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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