Provider Demographics
NPI:1932764164
Name:WHOLE PERSON-PSYCHOTHERAPY INC.
Entity Type:Organization
Organization Name:WHOLE PERSON-PSYCHOTHERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FELLEGVARI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:858-353-8088
Mailing Address - Street 1:9245 REGENTS RD UNIT M123
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-9258
Mailing Address - Country:US
Mailing Address - Phone:858-353-8088
Mailing Address - Fax:858-677-9037
Practice Address - Street 1:5230 CARROLL CANYON RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1779
Practice Address - Country:US
Practice Address - Phone:858-353-8088
Practice Address - Fax:858-677-9037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)