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

Bastyr University

Organization Counseling Psychologist · NPI 1104160043

Bastyr University is a Counseling Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

4106 Sorrento Valley Blvd
San Diego, CA 92121-1407
Phone: (858) 246-9730
Fax: (858) 246-9710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence ND-556 (CA)
Counseling Psychologist Taxonomy 103TC1900X · Licence PSY11413 (CA)

Record details

NPI number1104160043
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBastyr University
Authorized official Moira Fitzpatrick — Vice President · (858) 246-9701
Other names Bastyr University Clinic
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address4106 Sorrento Valley Blvd, San Diego, CA 92121-1407

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