Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Integrative Mind & Body Psychotherapy, Inc

Organization Clinical Psychologist · NPI 1427415967

Integrative Mind & Body Psychotherapy, Inc provides Clinical Psychologist services in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2305 Historic Decatur Rd Ste 100
San Diego, CA 92106-6071 Not confirmed with CMS for 10 years — call before visiting
Phone: (619) 354-2682
Fax: (619) 839-3780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY26623 (CA)

Record details

NPI number1427415967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Ceballos — Licensed Clinical Psychologist · (619) 354-2682
NPI enumeratedJanuary 27, 2016
Last updated in NPPESJanuary 27, 2016
Mailing address2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071

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