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

Jessica Carrasco, PHD

Individual provider Clinical Neuropsychologist · NPI 1427807148

Jessica Carrasco, PHD is a Clinical Psychologist in San Diego, California. Qualified in 2022, 4 years ago. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2024
Specialties on file
2
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

5006 Collwood Way
San Diego, CA 92115-2065
Phone: (619) 500-7010
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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 34856 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 34856 (CA)

Record details

NPI number1427807148
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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