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

Protected Roots Integrative

Organization Clinical Child & Adolescent Psychologist · NPI 1083318448

Protected Roots Integrative is a Clinical Child & Adolescent Psychologist in LA Jolla, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

7817 Herschel Ave Unit 101-102
LA Jolla, CA 92037-4454
Phone: (858) 295-1815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1083318448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suyeu Kuo — Executive Clinical Director · (925) 269-7451
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 29, 2023
Certification dateMarch 26, 2023
Mailing address7817 Herschel Ave Unit 101-102, La Jolla, CA 92037-4454

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