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

Green Lotus Psychotherapy & Consulting, Inc

Organization Clinical Psychologist · NPI 1427477751

Green Lotus Psychotherapy & Consulting, Inc is a Clinical Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

10455 Pomerado Rd
San Diego, CA 92131
Phone: (858) 344-2668
Fax: (760) 262-3026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY20351 (CA)

Record details

NPI number1427477751
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Bantz — President/Clinical Psychologist · (858) 344-2668
NPI enumeratedApril 15, 2014
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 2, 2024
Mailing addressPo Box 2253, Rancho Mirage, CA 92270-1085

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