OrganizationActive
Green Room Psychology Services Incorporation
NPI 1811263957 · Specialist · San Diego, CA
Green Room Psychology Services Incorporation is a Specialist organization in San Diego, CA (NPI 1811263957).
Provider details
- NPI number
- 1811263957
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Neda Khodaparast, Ceo(858) 480-9118
- License
- 23114 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
5252 Balboa Ave
Suite 204
San Diego, CA 92117-6906
Phone: (858) 480-9118
Fax: (858) 712-9035
Street-level locationGet directions
Mailing address
5252 Balboa Ave
San Diego, CA 92117-6906
Registry dates
- Enumerated
- 2012-03-22
- Last updated
- 2017-03-24
Frequently asked questions
- What is Green Room Psychology Services Incorporation's NPI number?
- Green Room Psychology Services Incorporation's National Provider Identifier (NPI) is 1811263957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Room Psychology Services Incorporation?
- Green Room Psychology Services Incorporation is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Green Room Psychology Services Incorporation located?
- Green Room Psychology Services Incorporation's practice location on file with NPPES is 5252 Balboa Ave, San Diego, CA 92117-6906.
- What is Green Room Psychology Services Incorporation's phone number?
- The practice phone number listed in the NPPES registry for Green Room Psychology Services Incorporation is (858) 480-9118.
- Who is the authorized official for Green Room Psychology Services Incorporation?
- The authorized official listed on Green Room Psychology Services Incorporation's NPPES record is Neda Khodaparast, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Room Psychology Services Incorporation's NPI active?
- Yes — Green Room Psychology Services Incorporation's NPI (1811263957) is active in the NPPES registry as of the last update on 2017-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.