Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alpha Theta Center, Inc

Organization Psychologist · NPI 1215572003

Alpha Theta Center, Inc is a Psychologist in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6540 Lusk Blvd Ste C175
San Diego, CA 92121-2768
Phone: (858) 952-7660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1215572003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Villanueva — Ceo/Clinic Director · (858) 952-7660
NPI enumeratedNovember 15, 2019
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021
Mailing address6540 Lusk Blvd Ste C175, San Diego, CA 92121-2768

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