Provider Demographics
NPI:1467622308
Name:CHRISTINA M ZAMPITELLA, PSY.D. PSYCHOLOGIST PC
Entity Type:Organization
Organization Name:CHRISTINA M ZAMPITELLA, PSY.D. PSYCHOLOGIST PC
Other - Org Name:INTEGRATIVE PSYCHOLOGICAL AND ASSESSMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMPITELLA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:858-268-9800
Mailing Address - Street 1:4565 RUFFNER ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2262
Mailing Address - Country:US
Mailing Address - Phone:858-268-9800
Mailing Address - Fax:858-268-9810
Practice Address - Street 1:4565 RUFFNER ST
Practice Address - Street 2:SUITE 108
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2262
Practice Address - Country:US
Practice Address - Phone:858-268-9800
Practice Address - Fax:858-268-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20878103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP20878Medicare PIN