Provider Demographics
NPI:1750696233
Name:SILSBY, JESSICA C (PSYD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:C
Last Name:SILSBY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:C
Other - Last Name:SILSBY LOWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 70111
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92167-1111
Mailing Address - Country:US
Mailing Address - Phone:619-994-3779
Mailing Address - Fax:858-724-1963
Practice Address - Street 1:445 MARINE VIEW AVE
Practice Address - Street 2:300
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3969
Practice Address - Country:US
Practice Address - Phone:619-994-3779
Practice Address - Fax:858-724-1963
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26188103TC0700X, 103TC2200X, 103TA0400X, 103TB0200X, 103TP2701X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic