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

Pacific Neurobehavioral Clinic: a Psychological Corporation

Organization Clinical Neuropsychologist · NPI 1952724817

Pacific Neurobehavioral Clinic: a Psychological Corporation is a Clinical Neuropsychologist in San Diego, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
4
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Practice location Address checks out

3990 Old Town Ave Ste C303
San Diego, CA 92110-2932
Phone: (858) 964-0722
Fax: (866) 437-0375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence PSY22738 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X
Psychologist Taxonomy 103T00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1952724817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Olson Bachiega — Ceo · (858) 964-0722
Other names Pacific Neurobehavioral Clinic, Pc
NPI enumeratedJanuary 29, 2014
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address3990 Old Town Ave Ste C303, San Diego, CA 92110-2932

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