Provider Demographics
NPI:1497160337
Name:CENTER FOR INTEGRATIVE WELLNESS: A CBT PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:CENTER FOR INTEGRATIVE WELLNESS: A CBT PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SABINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEHGAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-829-8852
Mailing Address - Street 1:5348 CARROLL CANYON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1733
Mailing Address - Country:US
Mailing Address - Phone:858-829-8852
Mailing Address - Fax:858-202-1548
Practice Address - Street 1:5348 CARROLL CANYON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1733
Practice Address - Country:US
Practice Address - Phone:858-829-8852
Practice Address - Fax:858-202-1548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22035103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty