IndividualActive
Jacob Ambrose
NPI 1588149017 · Clinical Psychologist · San Diego, CA
Jacob Ambrose is a Clinical Psychologist provider in San Diego, CA (NPI 1588149017).
Provider details
- NPI number
- 1588149017
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PSY34639 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs 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
1110 24th St
Apt 8
San Diego, CA 92102
Phone: (619) 728-4177
Fax: (573) 503-0122
Street-level locationGet directions
Mailing address
1110 24th Street
San Diego, CA 92102-2000
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Frequently asked questions
- What is Jacob Ambrose's NPI number?
- Jacob Ambrose's National Provider Identifier (NPI) is 1588149017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Ambrose's specialty?
- Jacob Ambrose is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacob Ambrose located?
- Jacob Ambrose's practice location on file with NPPES is 1110 24th St, San Diego, CA 92102.
- What is Jacob Ambrose's phone number?
- The practice phone number listed in the NPPES registry for Jacob Ambrose is (619) 728-4177.
- Is Jacob Ambrose's NPI active?
- Yes — Jacob Ambrose's NPI (1588149017) is active in the NPPES registry as of the last update on 2024-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.