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

Maricruz Pat Carrillo

Individual provider Clinical Psychologist · NPI 1790289080

Maricruz Pat Carrillo is a Clinical Psychologist in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

446 Alta Rd Ste 6100
San Diego, CA 92158-0001
Phone: (619) 671-4400
Show map & directions

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

Additional practice locations (1)

  • 498 Perimeter Rd, San Diego, CA 92158-0001 — (619) 661-6500

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSB94026737 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790289080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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