Simmons, Nathan Kyle
Simmons, Nathan Kyle is an individual health care provider with primary practice located at 277 Rancheros Dr Suite 301, San Marcos CA 92069-2976. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Simmons, Nathan Kyle can be contacted via phone (619) 528-4600.Contact Information
Primary practice address
277 Rancheros Dr Suite 301
San Marcos CA 92069-2976
Phone: (619) 528-4600
Fax: (619) 528-4625
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY25856 | California |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
NPI number | 1447313846 |
---|---|
LBN Legal business name | Simmons, Nathan Kyle |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 18th, 2006 |
Last updated | Apr 17th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447313846 | NPPES |
California | Other | W416 | PCSD MEDICARE # |
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