Soul Tide Psychotherapy PC
NPI 1528856531 · Clinical Psychologist · Carlsbad, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soul Tide Psychotherapy PC is a Clinical Psychologist organization in Carlsbad, CA (NPI 1528856531).
Provider details
- NPI number
- 1528856531
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Trevor Olson, Secretary(858) 945-7421
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Health Psychologist103TH0004X
Behavioral Health & Social Service Providers
- Psychoanalysis Psychologist103TP0814X
Behavioral Health & Social Service Providers
- Rehabilitation Psychologist103TR0400X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Adult Development & Aging Psychologist103TA0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-29
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is Soul Tide Psychotherapy PC's NPI number?
- Soul Tide Psychotherapy PC's National Provider Identifier (NPI) is 1528856531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Soul Tide Psychotherapy PC?
- Soul Tide Psychotherapy PC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Soul Tide Psychotherapy PC located?
- Soul Tide Psychotherapy PC's practice location on file with NPPES is 3257 Camino De Los Coches, Carlsbad, CA 92009-8976.
- What is Soul Tide Psychotherapy PC's phone number?
- The practice phone number listed in the NPPES registry for Soul Tide Psychotherapy PC is (858) 945-7421.
- Does Soul Tide Psychotherapy PC accept Medicare?
- Soul Tide Psychotherapy PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Soul Tide Psychotherapy PC?
- The authorized official listed on Soul Tide Psychotherapy PC's NPPES record is Trevor Olson, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Soul Tide Psychotherapy PC's NPI active?
- Yes — Soul Tide Psychotherapy PC's NPI (1528856531) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.