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Jorge Luis Concepcion, Psy.D

Psychologist, Clinical in San Diego, CA. Individual provider (NPI-1).

NPI number1235339128
StatusActive
Last updated in NPPESMay 14, 2024

Details

NPI
1235339128
Entity type
Individual (NPI-1)
Name
Jorge Luis Concepcion
Credential
Psy.D
Sex
Male
Sole proprietor
No
Enumeration date
Jul 19, 2007
Certification date
May 14, 2024
Last updated
May 14, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPY60363674WAYes
390200000X Student in an Organized Health Care Education/Training Program––
101YM0800X Counselor, Mental Health––

Practice location

34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098

Phone 619-665-2516

Mailing address

34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098

Phone 619-665-2516

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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