Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Andrew E Bertagnolli, PHD

Individual provider Clinical Psychologist · NPI 1578683926

Andrew E Bertagnolli, PHD is a Clinical Psychologist in Carlsbad, California. Qualified in 1996, 30 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Alaska, Arizona, California and Colorado and 11 more.

Years since qualifying
30
Licensed in
AK, AZ, CA, CO, HI, MA
In the registry since
2007
Specialties on file
15
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7740 El Camino Real Ste F
Carlsbad, CA 92009-8514
Phone: (888) 663-6331
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 53 State St, Boston, MA 02109-2820 — (888) 663-6331
  • 1600 7th Ave Ste 110, Seattle, WA 98101-2288 — (888) 663-6331

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY15734 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 649 (SD)
Clinical Psychologist Taxonomy 103TC0700X · Licence 63101018828 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 7170 (NH)
Clinical Psychologist Taxonomy 103TC0700X · Licence 7102 (PR)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS02423 (RI)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY-005431 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1638 (HI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 170943 (AK)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY61078674 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY0005714 (CO)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS2724 (ME)
Clinical Psychologist Taxonomy 103TC0700X · Licence 11380 (MA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY-PSY-LIC-3526 (MT)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3320 (OR)

Record details

NPI number1578683926
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESOctober 3, 2026
Certification dateOctober 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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