Ann Kathryn Carson is a Nurse Practitioner based in San Diego, CA. Ann Kathryn Carson practices in San Diego, CA and has the professional credentials of PHD. The NPI Number for Ann Kathryn Carson is 1942251319 and holds a License No. PSY12884 (California).
The current practice location address for Ann Kathryn Carson is 9261 Fullerton Ave, San Diego, CA and can be reached out via phone at 619-516-0221 and via fax at 858-496-9782.
Location: 9261 Fullerton Ave, San Diego, CA, 92123-3146
Provider Profile Details
NPI Number
1942251319
Provider Name
Ann Kathryn Carson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
9261 Fullerton Ave, San Diego, CA, 92123-3146
Phone Number
619-516-0221
Fax Number
858-496-9782
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330490987 92108 A001 | 01 | CA | TRICARE |
| OPL128840 | 01 | CA | BLUE SHIELD |
| 183091 | 01 | CA | MANAGED HEALTH NETWORK |
| PSY128840 | 05 | CA |
Provider Business Practice Location Address Details
Address
9261 Fullerton Ave
City
State
Zip
92123-3146
Phone Number
619-516-0221
Fax Number
858-496-9782
Provider Business Mailing Address Details
Address
9261 Fullerton Ave
City
State
Zip
92123-3146
Phone Number
619-516-0221
Fax Number
858-496-9782
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
1477 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
License No.
R213694 (California)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
PSY12884 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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