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

Green Room Psychology Services Incorporation

Organization Specialist · NPI 1811263957

Green Room Psychology Services Incorporation is a Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

5252 Balboa Ave Ste 204
San Diego, CA 92117-6906
Phone: (858) 480-9118
Fax: (858) 712-9035
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 23114 (CA)

Record details

NPI number1811263957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neda Khodaparast — Ceo · (858) 480-9118
NPI enumeratedMarch 22, 2012
Last updated in NPPESMarch 24, 2017
Mailing address5252 Balboa Ave, Suite 204, San Diego, CA 92117-6906

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